86Borders

Care Coordinator

• Provide care coordination for Medicaid, Medicare Advantage, and/or Dual Eligible Special Needs Plan (DSNP) members
• Build trusted relationships and create a positive member experience
• Help members access appropriate care through health plans, providers, pharmacies, vendors, and community-based organizations
• Assess members’ medical and social needs, including Social Determinants of Health
• Conduct outreach to motivate, facilitate, and educate members about program benefits
• Conduct telephone and/or text assessments and develop care plans with members
• Evaluate member care needs and communicate medical information to healthcare professionals
• Manage a caseload and ensure timely contact with each member
• Coordinate care with providers and schedule appointments as needed
• Motivate members to participate actively in their health and overall well-being
• Identify and help address Social Determinants of Health needs
• Coordinate and complete correspondence according to established workflows
• Accurately document actions in a care management platform
• Make a high volume of outreaches to members, families, providers, and other recipients
• Work effectively with diverse populations and demonstrate cultural knowledge and continued learning
• Advocate for, support, and motivate members to manage their health and healthcare
• Maintain positive working relationships with members, families, providers, and external partners
• Build trust, actively listen, communicate intentionally, collaborate, and problem-solve
• Influence others toward positive outcomes

Explore Care Coordinator at 86Borders. Review requirements and application details.

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Care Coordinator