Health Coordinator

• Support the case management process to facilitate and maintain improved healthcare outcomes for members
• Provide advocacy, collaboration, coordination, support, and education using care management tools and resources
• Evaluate members through care management assessments and information/data review
• Recommend approaches to resolve care needs by evaluating benefit plans and internal/external programs and services
• Identify high-risk factors and service needs and implement early, proactive support interventions
• Coordinate and implement Wellness care plan activities and monitor member care needs
• Consult with case managers, supervisors, Medical Directors, and other health programs to overcome barriers
• Present cases at case conferences for multidisciplinary review
• Identify and escalate quality-of-care issues through established channels
• Negotiate appropriate options and services to meet members’ benefit and healthcare needs
• Use motivational interviewing and influencing skills to engage members and promote lifestyle and behavior changes
• Provide coaching, information, and support to empower independent medical and healthy lifestyle choices
• Help members participate knowledgeably with providers in healthcare decision-making
• Monitor, evaluate, and document care in compliance with regulatory, accreditation, and company requirements
• Travel regionally within Kentucky up to 50% of the time using a personal vehicle
• Travel to the Louisville office for meetings and training

Health Coordinator jobs in Kentucky

Population Health and Wellness Care Management Coordinator