Care Coordinator

This is a fully remote position, open to applicants in Maryland.

📋 Description

• Provide administrative assistance to the members of the Care Management (CM) team.

• Gather data for Health Risk Assessments (HRA).

• Evaluate eligibility and benefits.

• Identify members lacking a Primary Care Provider (PCP) and refer them to Member Services.

• Prioritize and screen members for CM services, referring as necessary.

• Carry out transition of care responsibilities, which include contacting the members’ PCP, Medical Power of Attorney (POA), or other medical providers for information regarding special needs.

• Document all interactions and communications made on behalf of clients, complete and submit monthly reports, and maintain detailed electronic member records.

• Encourage members to actively engage in their health and overall wellness.

• Provide educational support, member follow-ups, arrange PCP visits, and conduct care coordination under the guidance of the Care Manager.

• Assist members in evaluating health-related services, which includes obtaining a medical home, offering guidance on the appropriate use of the medical home, overcoming barriers to necessary medical care, and/or accessing social services.

• Execute tasks as instructed by the CM team to enhance member compliance, such as verifying appointments or obtaining medical records.

• Facilitate member access to community resources, including, but not limited to, housing, food, clothing, prenatal classes, parenting education, and relevant mental health services.

• Collaborate and function effectively within a team environment.

• Establish positive, supportive relationships with participants and provide constructive feedback to other team members.

• Build and sustain positive working relationships with members, providers, nurse care managers, social workers, agency representatives, and office staff from various cultural and socio-economic backgrounds.

⛳️ Requirements

• Excellent interpersonal, communication, and customer service abilities.

• Familiarity with community agencies and resources.

• Understanding of medical terminology.

• Working knowledge of multi-system outreach programs relating to health care delivery, clinical education, and health-related services.

• Awareness of transportation and other barriers to care that members may encounter.

• Capability to convey medical information to healthcare professionals and members of the care management team.

• Proficiency in computer applications, particularly Microsoft Office.

• High school diploma or equivalent qualification.

• Over 2 years of experience serving the Medicaid population, preferably within the MD/DC area.

• More than 2 years of experience in OB/GYN.

🏝️ Benefits

• Medical, dental, and vision insurance options.

• 100% employer-paid Term Life Insurance.

• Short and Long-Term Disability coverage.

• 401k Employer Match up to 4%.

• 20 days of Paid Time Off (PTO).

• Tuition assistance and professional development plans.