Health Coordinator

• Provide medical administration support to providers by obtaining referral or prior authorizations for patients to see specialty providers
• Complete referrals and/or authorizations accurately and consistently with minimal supervision
• Process authorization and referral requests for members in coordination with health plans and contracted providers in Managed Care
• Support Case Management staff
• Serve as a resource to providers regarding the authorization process
• Work a full-time day shift on varied weekdays with rotating weekends

Authorization Coordinator III, Home Health

• Coordinate residential treatment facility referrals and admissions for members approved for out-of-home behavioral health residential treatment across multiple levels of care
• Identify clinically appropriate participating residential treatment providers based on members’ treatment needs
• Manage residential referrals by distributing referrals, tracking provider responses, and maintaining accurate facility activity documentation
• Collaborate with behavioral health homes, treating providers, and community partners to ensure timely submission of clinical information for facility reviews
• Monitor referral status and facility timelines to promote timely access to care and minimize treatment delays
• Serve as a primary contact for residential treatment providers, behavioral health homes, and internal stakeholders regarding facility-related questions and coordination needs
• Respond to facility disruptions, denials, or changes in member circumstances by coordinating alternative treatment options
• Participate in utilization management rounds and interdisciplinary case reviews; present member cases and provide operational support
• Facilitate and participate in meetings with behavioral health residential providers to support collaboration, resolve barriers, and improve facility outcomes
• Partner with Care Management, Utilization Management, Quality Management, and other departments to support continuity of care
• Identify and elevate concerns and assist leadership with addressing them
• Maintain accurate case documentation, referral records, and tracking tools according to organizational, regulatory, and departmental requirements
• Support departmental projects, process improvements, reporting activities, and operational initiatives related to residential treatment coordination and utilization management
• Apply care coordination principles, clinical judgment, and established policies to promote quality outcomes and appropriate resource utilization
• Perform other duties as assigned

Behavioral Health Residential Coordinator

• Develop new referral relationships and support ongoing relationships with established referring organizations
• Represent Rivia Mind in the market and showcase applicable service offerings
• Share market feedback on outreach messaging and identify new referral sources
• Proactively identify, engage, and secure referrals through partner organizations
• Travel within the assigned territory approximately 10 times per week for onsite drop-ins, meetings, and events
• Conduct approximately 30 cold calls and 100 targeted emails per week
• Participate in territory roadshows, networking events, or conferences approximately 3–4 times per quarter
• Use data insights to identify referral opportunities and tailor sales messaging
• Collaborate with Marketing on digital and print materials and outreach messaging
• Maintain Salesforce CRM records for outreach, visits, relationships, referral processes, and strategic next steps
• Provide outreach insights and feedback to inform strategy and team growth
• Prepare reports on lead generation, conversion rates, engagement, outcomes, and territory goals
• Map territories to identify hospital systems, primary care groups, colleges, and insurance networks
• Maintain and nurture existing referral partner relationships through quarterly or monthly check-ins
• Conduct onsite visits, address concerns, and provide tailored solutions
• Coordinate with Operations to resolve referral-process and patient-experience issues
• Provide weekly relationship updates and participate in company-wide and departmental meetings
• Collaborate with Relationship Management peers and perform other assigned duties

Mental Health Outreach Coordinator – Clinical & Business Referral Development

• Develop new referral relationships and support existing relationships with referring organizations
• Represent Rivia Mind in the market and showcase applicable service offerings
• Identify, engage, and secure new referrals through partner organizations
• Travel approximately 1–2 days per week within the assigned territory for onsite visits, meetings, and events
• Conduct cold calls, targeted email campaigns, and onsite promotional outreach
• Participate in territory roadshows, networking events, and conferences
• Use referral and patient-location data to identify opportunities and tailor sales messaging
• Collaborate with Marketing on digital and print materials and outreach messaging
• Maintain Salesforce CRM records of outreach, visits, relationships, referral processes, patient mix, and next steps
• Provide outreach insights and feedback to inform strategy
• Prepare reports on lead generation, conversion rates, engagement, and outcomes
• Map territories to identify hospital systems, primary care groups, colleges, and insurance networks
• Maintain communication with referral partners through quarterly or monthly check-ins
• Conduct onsite visits, address concerns, and coordinate with Operations on partner feedback
• Develop customized partnership strategies and expand referral relationships
• Provide weekly updates, participate in company-wide and departmental meetings, and collaborate with Relationship Management
• Report to the Director of Outreach & Partner Success; perform other assigned duties

• Interact with Medicare members via digital and telephone channels
• Conduct inbound and outbound outreach regarding healthcare visits, screenings, vaccinations, and medication refills
• Capture barriers and collect data using motivational interviewing to help close gaps in care
• Provide professional, empathetic support and answer or triage member questions
• Advocate for Medicare members and coordinate care among health plans, doctors, and pharmacies
• Collect member-reported data in the CRM to support HEDIS medical-record documentation
• Educate members based on their needs, preferences, and understanding
• Serve as a single point of contact, resolving issues and escalating to leadership when needed
• Build trusting relationships and connect members with appropriate services
• Explain programs, Aetna tools, and healthcare resources
• Document and track member contacts, events, and outcomes in applicable systems
• Produce business communications, including letters and spreadsheets
• Handle multiple functions and products while meeting performance standards
• Identify issues requiring escalation and suggest resolutions
• Support individual, team, and business goals and initiatives

Health Advocate, Call Coordinator

• Coordinate and implement evidence-based community health programming supporting needs identified at designated hospital sites
• Collaborate with community partners
• Attend meetings, order supplies, gather data, coordinate events and screenings, and support community partners
• Collect monitoring and outcome data for community health programs
• Participate in site Community Health Council and other meetings promoting alignment with community health strategies
• Collaborate with the director on data collection for the Community Health Assessment
• Educate associates, management, and hospital governance on community health issues and planned hospital interventions
• Implement activities ensuring accurate collection and summary of community benefit data
• Facilitate reporting of community benefit activity for designated hospitals
• Maintain relationships with community leaders, faith groups, community-based organizations, government officials, non-Advocate health care organizations, and other Advocate hospitals
• Represent designated hospital sites in local coalitions addressing community health needs
• Communicate CHNA findings to community groups and solicit involvement in addressing identified needs

Coordinator, Community Health – Impact

• Coordinate and implement evidence-based community health programming supporting needs identified at designated hospital sites
• Prioritize collaboration with community partners
• Coordinate program tactics including attending meetings, ordering supplies, gathering data, coordinating events and screenings, and supporting community partners
• Collect monitoring and outcome data for community health programs
• Participate in site Community Health Council meetings and other meetings promoting system alignment with community health strategies
• Collaborate with the director on data collection activities related to the Community Health Assessment
• Educate associates, management and hospital governance on community health issues and planned hospital interventions
• Implement activities ensuring accurate collection and summary of community benefit data
• Facilitate reporting of community benefit activity for designated hospital sites
• Maintain relationships with community leaders, faith groups, community-based organizations, political/government officials, healthcare organizations and other hospitals
• Represent designated hospital sites in local coalitions addressing community health needs
• Communicate CHNA findings to community groups and solicit involvement in addressing identified needs

Community Health and Impact Coordinator

• Coordinate and implement professional continuing education programming aligned with the Ready for Life NC preconception health campaign
• Coordinate professional continuing education programs, including live webinars, in-person regional trainings, and enduring content modules, with external partners
• Research and develop program topics and identify potential expert speakers within North Carolina
• Develop targeted marketing strategies for professional education programs
• Support planning and implementation of a biennial statewide preconception health conference
• Collaborate with team members on current and emerging programmatic opportunities
• Serve as a preconception health subject matter expert and representative of the March of Dimes Ready for Life NC program as needed
• Attend appropriate national and state March of Dimes meetings

Health Education Program Service 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

Population Health and Wellness Care Management Coordinator

• Train classroom staff, coordinators, and supervisors in proactive classroom management techniques
• Develop and facilitate trainings on early childhood mental health and behavior interventions
• Provide direct mental health services, consultation, and management to staff, students, and families
• Conduct consultation meetings, observations, assessments, and therapeutic activities
• Support development and implementation of individualized behavior plans
• Complete required documentation according to organizational procedures
• Collaborate with Early Learning, School-age, Inclusion, and Family Engagement teams
• Support referrals for community-based services and resources
• Communicate with community partners, families, and staff
• Provide interventions during mental health or behavioral crises, including mandated reporting situations
• Maintain records and track mental health referrals and services
• Review documentation and provide feedback as part of the department management team
• Report data to program and organizational leadership
• Maintain compliance with federal and state regulations
• Identify training needs using gathered data
• Assist managers, directors, the vice president of center-based programs, and the chief program officer
• Implement organizational and program policies and procedures
• Complete assigned paperwork and documentation accurately and timely
• Perform other related duties as assigned

Health Coordinator jobs in United States

Authorization Coordinator III, Home Health

Behavioral Health Residential Coordinator

Mental Health Outreach Coordinator – Clinical & Business Referral Development

Mental Health Outreach Coordinator – Clinical & Business Referral Development

Health Advocate, Call Coordinator

Coordinator, Community Health – Impact

Community Health and Impact Coordinator

Health Education Program Service Coordinator

Population Health and Wellness Care Management Coordinator

Behavior Health Coordinator