Care Coordinator III

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

📋 Description

• Assist the senior care management team and designated member care teams.

• Ensure that services are provided by healthcare professionals and partners.

• Aid in achieving continuity of care and enhancing member satisfaction.

• Act as a liaison between care managers and providers to coordinate member care.

• Conduct outreach to members through phone calls and home visits.

• Discuss care plans, service plans, next steps, available resources, questions, and concerns with members.

• Organize care activities based on care and service plans.

• Address inquiries, requests, and concerns from members and providers.

• Manage complex or escalated care management issues effectively.

• Communicate with care managers, practitioners, and various stakeholders to facilitate member services.

• Conduct service assessments and screenings for members with complex needs.

• Document and maintain member records, distributing them to providers as necessary.

• Triage, modify, and escalate complex requests to management as needed.

• Adhere to contractual, regulatory, and organizational standards and policies.

• Identify member needs and refer to Care Managers, community-based organizations, and Disease Managers.

• Provide education on benefits and available resources.

• Assist with training and development requirements as necessary.

• Carry out other duties as assigned.

⛳️ Requirements

• High School diploma or GED is mandatory.

• 2–4 years of relevant experience is required.

• Must reside in or around Sacramento or Los Angeles, California.

• Capability to conduct member outreach via phone and in-home visits.

• Ability to coordinate care with healthcare and community providers, partners, members, and caregivers.

• Competence in performing service assessments and screenings for members with complex needs.

• Proficiency in documenting and maintaining member records in compliance with state and regulatory standards.

• Skill in triaging, adjusting, and escalating complex requests.

• Understanding of care management services.

• Ability to identify needs and make appropriate referrals.

• Capability to provide education on benefits and available resources.

🏝️ Benefits

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off.

• Paid holidays.

• Flexible work arrangements including remote, hybrid, field, or office work schedules.

• Competitive salary.

• Additional incentive options may be included in total compensation.

• Equal opportunity employer dedicated to diversity.