Care Coordinator

Company Name:
Manpower Group
Qualifications: Qualifications: Education Required: Associate''s degree in Healthcare, Nursing, and Social Work or a related area or equivalent relevant work experience. Experience Required: 2 years of office experience, specifically in either a high volume data entry office, customer service calls center, or health care office administration department. Preferred/Desirable: Knowledge and experience in maternal child health. Experience with FACETS/CCMS or other healthcare database. Experience with care coordination or case/care management Prior customer service experience. Bilingual skills, fluency in Spanish. Certification or Conditions of Employment: Pre-employment background check Competencies, Skills, and Attributes: Motivational Interviewing skills Strong oral and written communication skills Ability to effectively collaborate with health care providers and all members of the interdisciplinary team Demonstrated strong organizational and time management skills Able to work in a fast paced environment and multi task Experience with Microsoft Office application, particularly MS Outlook and MS Word and other data entry processing applications Knowledge of medical terminology strongly preferred Knowledge of community resources strongly preferred Working Conditions and Physical Effort: Work is normally performed in a typical interior/office work environment. No or very limited physical effort required. No or very limited exposure to physical risk. Regular and reliable attendance is an essential function of the position Responsibilities: Key Functions/Responsibilities: Assesses member needs by conducting interviews and structured assessments using Motivational Interviewing techniques to engage Members and determine non-clinical and social needs and engage them in care management. Educates members by providing information on how to obtain resources, basic health information and by sending information packets to Members containing health information relative to the Member''s identified conditions. Maintains current knowledge of community resources for referral and linkage to meet Members'' needs Participates in group meetings to ensure policies, procedures, and work flows are up to date and advises on revisions needed. Facilitates member communication with external partners such as state agencies, community based organizations, clinical vendors, and primary care and specialty practices. Completes documentation in the medical management information system CCMS in a timely manner and in keeping with contractual requirements, internal policy and accreditation standards. Complies with established metrics for performance, adheres to documentation and work flow standards and utilizes other department specific tracking tools. Triages cases to clinical staff, other departments, contracted vendors and providers as appropriate. Participates as assigned in answering calls on the care management 800 line Program Specific Functions Transition to Home (TTH) o Runs TTH census report admissions with TTH with Match Report and removes program ineligible members. o Creates cases in CCMS and checks for discharge dates in CCMS by referencing the facility census or by contacting the facility. o Telephonically outreaches to select full program members o Calls short program members to ensure an appointment with the PCP or specialist has been set up within a week of discharge and assists member in making appointments as needed. Sunny Start o Supports members to access necessary equipment such as breast pumps and infant car seats within members benefit structure o Facilitates member access to and completion of prenatal and postpartum visits according to best practice guidelines and workflow standards. Supervision Exercised: n/a Supervision Received: Weekly and on-going from Manager of Care Management Assist healthcare professionals in routine tasks including preparation of patient rooms, housekeeping, dietary, and administrative tasks.
Title: Care Coordinator
Job ID: USA_158137
Location: USA-New Hampshire-Manchester
Type: Temporary
Postal Code: 03101
Industry: Call Centre and Customer Service

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