Care Coordinator

Duties & Responsibilities

• Collect relevant clinical data to support the care planning process.
• Care Plan support and intervention to transition members to optimal levels of health and self-management, as directed.
• Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population.
• Provide transition of care interventions as required.
• Facilitate care coordination, self-management planning, discharge planning, and health education as directed.
• Facilitate linkage to appropriate community resources to address social determinants of health.
• Adjudicate referrals according to defined business rules across all care settings.

Education and Professional Experience

• Licenses and Certifications:
  • High School Diploma
  • Minimum 2 years of experience in medical management.
  • Capacity to interpret health plan benefit decisions.
  • Bilingual Required (English/ Spanish)
  • Certification as a Medical Assistant preferred.

Professional Competencies

• High level of critical thinking and problem-solving skills
• Strong work ethic and overall positive attitude
• Effective communication skills including verbal and written.
• Ability to manage time effectively, understand directions, and work independently in a fast-paced environment.
• Demonstrated flexibility, organization, and self-motivation.
• Highly adaptable to change.

Work Environment

• The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer.