Job Information
Healthfirst Care Coordinator - 100% Remote in Remote, New Mexico
This position is 100% Remote
Duties and Responsibilities:
Receive incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors requiring medical intervention
Contemporaneously and accurately documents call in designated PHI system.
Manages an assigned member caseload who require short term care coordination and health navigation
Works within the interdisciplinary care team to support timely communication of member issues or needs and monitors screening of members effectively to improve quality and cost outcomes
Performs outreach calls to members to confirm services are in place
Additional duties as assigned
Minimum Qualifications:
Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or previous relevant medical training or work experience
HS diploma/GED
Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills
Experience working in a fast-paced environment that requires handling multiple priorities simultaneously
Preferred Qualifications:
Associates degree
Prior work experience in a call center, care management, or healthcare environment or familiarity with medical terminology, Medicaid & Child health plus benefit products.
Excellent telephone, organizational, and customer service skills
Team player who is organized and detail-oriented
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
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