Care Coordinator

Duties/Responsibilities: 

• PartnerwithArchWellHealth'smulti-disciplinarycareteamtogainadeepunderstandingof eachmember's careneeds,includingidentifying gapsand barriersto treatment 
• Coordinatereferralstoexternalproviders, vendors, and servicestoensurecare needsaremet 
• Completeproperdocumentationformemberreferralsto ensurerecordsareaccurateand current 
• Build and nurture relationships with members andtheir families to successfully facilitate care coordination 
• Carry outall activities andprovide ongoingmonitoringas outlinedin amember'scare plan toensure routine followup and progressionis made on care plan goals 
• AdheretoHIPAAstandardsandconfidentialityofprotectedhealthinformation(PHI) 
• Promoteclearcommunicationamongcareteamandtreatingclinicianstoensurepositive member outcomes  
• Assist members in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).  
• Be the system navigator and point of contact for members and families, with patients and families having direct access for asking questions and raising concerns.  
• Additionalduties,asassigned 

• Deepunderstandingofthehealthcareecosystem, ideally with experience in benefits and insurance authorization 
• Passionforhelping seniormemberssuccessfullycarryoutcareplans 
• Ability towork effectively with diverse populationsincluding staff, providers, members, family members, insurance carriers, vendors, and the public 
• Basic medical terminology 
• Understanding of Medicare criteria for equipment and supplies 
• Knowledge of CPT and ICD-10 codes 
• Workingknowledgeof specialistsandcommunityresourcestoassistthemember 
• Strongcommunication and rapport-building ability among an interdisciplinary team 
• Ability to multi-task and manage competing prioritieswith high attention to detail 
• Proficient PC skills to include Microsoft Office 
• Fluency in Spanish, or languages spoken by the people in thecommunities we serve (where necessary) 

Education and Experience: 

• H.S. Diploma or equivalent required; degree or college level coursework in healthcare preferred 
• 2 years of experience in referral management or care coordination 
• Medical Assistant or medical administrative experience is helpful 
• Experience with EMR systems, ideally eClinicalWorks or similar