Center Care Team - Care Coordinator

About the Role

The Care Coordinator supports our members as they navigate the complex healthcare delivery system, ensuring every member receives the right care in the right setting. This individual serves as a guide for members and their families, coordinating specialist visits inside or outside the center to meet care needs in a timely manner. An ideal candidate has a deep understanding of the healthcare ecosystem, strong attention to detail, and a passion for providing quality care to seniors.

Responsibilities

• Partner with ArchWell Health's multi-disciplinary care team to gain a deep understanding of each member's care needs, including identifying gaps and barriers to treatment.
• Coordinate referrals to external providers, vendors, and services to ensure care needs are met.
• Complete proper documentation for member referrals to ensure records are accurate and current.
• Build and nurture relationships with members and their families to successfully facilitate care coordination.
• Carry out all activities and provide ongoing monitoring as outlined in a member's care plan to ensure routine follow-up and progression on care plan goals.
• Adhere to HIPAA standards and maintain confidentiality of protected health information (PHI).
• Promote clear communication among the care team and treating clinicians to ensure positive member outcomes.
• Assist members in problem-solving potential issues related to the healthcare system, financial, or social barriers (e.g., request interpreters, transportation services, or prescription assistance).
• Serve as the system navigator and point of contact for members and families, providing direct access for questions and concerns.
• Perform additional duties as assigned.

Requirements

• Deep understanding of the healthcare ecosystem, ideally with experience in benefits and insurance authorization.
• Passion for helping senior members successfully carry out care plans.
• Ability to work effectively with diverse populations, including 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.
• Working knowledge of specialists and community resources to assist members.
• Strong communication and rapport-building ability among an interdisciplinary team.
• Ability to multi-task and manage competing priorities with high attention to detail.
• Proficient PC skills, including Microsoft Office.
• Fluency in Spanish or languages spoken by the communities we serve (where necessary).

Qualifications

• High School 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.