HEALTH SERVICES AND CARE COORDINATOR

About the role

The Health Services and Care Coordinator plays an important and unique role in the MSO Care Coordination and Case Management team. Candidate is required to have well-understanding to the many benefits and coverage offered by the different managed care products, including Medicare Advantage, D-SNP, Medi-Cal Managed Care, and other Supplemental programs.

Responsibilities

• Facilitate medical, behavioral, social and community support services for patients in need of enhanced care coordination services.
• Develop a multi-disciplinary care plan, self-management goals and referrals to both internal and external resources.
• Build effective working relationships with patients and family members, healthcare providers and teams, and community resources providers.
• Improve coordination of patient care, reduce and remove cultural and healthcare system barriers, promote timely treatment, empower and coach patients to become self-advocates, and assist patients navigate the maze of the managed care delivery system.

Qualifications

• Completion of a 2-year degree in general education preferred, may be substituted with one year of relevant work experience in a healthcare setting.
• Valid driver’s license and ability to operate company vehicle.
• Prior experience with customer services.
• Strong English verbal and written communication skills with strong analytical and problem-solving skills.
• Ability to take and follow through with delegated tasks and accountability.
• Working knowledge of project management and outreach program.
• Knowledge of State/Federal healthcare compliance requirements, particularly DHCS/Medi-Cal guidelines a plus.
• Ability to self-manage in a detail-oriented environment.
• Good organization and prioritization skills, outstanding in time management.
• Fluency in Chinese (Cantonese and/or Mandarin), Vietnamese, or Spanish required.
• Fluency in other languages are an asset.

Benefits

NEMS BENEFITS: Competitive benefits, including free medical, dental and vision insurance for employee, spouse and/or children; and company contribution to 401(k).