Experienced Coordinator, Utilization and Care Management – Driving Excellence in Healthcare Operations and Member Outcomes

Introduction to ArchWell Health and the Role

Imagine being part of a vibrant community that is dedicated to revolutionizing the healthcare experience for seniors. At ArchWell Health, we are passionate about creating a supportive environment where our members can thrive and live their best lives. As a Coordinator, Utilization and Care Management, you will play a pivotal role in driving our mission forward. This exciting opportunity is based in our remote office, offering the flexibility and autonomy to make a real difference in the lives of our members.

As a key member of our Utilization Management (UM) department, you will be responsible for managing, analyzing, and coordinating data to support our clinical and administrative teams. Your expertise will be instrumental in ensuring accurate and timely handling of data, ultimately improving member outcomes and operational efficiency. If you are a detail-oriented and system-savvy individual with a passion for healthcare, we encourage you to apply for this rewarding role.

Job Summary

The Utilization and Care Management Coordinator is a critical position that requires a unique blend of analytical, technical, and interpersonal skills. As a successful candidate, you will have a deep understanding of utilization management and case management, as well as the ability to work independently in a fast-paced environment. Your strong analytical skills, proficiency in Microsoft applications, and experience with data coordination and analysis will enable you to make a significant impact in this role.

Working closely with our Utilization Management and Care Management teams, you will support data-related projects and initiatives, ensuring that our members receive the best possible care. Your attention to detail, organizational skills, and ability to multitask will be essential in managing competing priorities and meeting deadlines. If you are a motivated and compassionate individual who is committed to delivering exceptional results, we invite you to join our team.

Key Responsibilities

• Collaborate with Utilization Management and Care Management teams to support data-related projects and initiatives, driving business outcomes and improving member satisfaction.
• Routinely review data for accuracy, verifying updates and correcting current rosters, and resolving any discrepancies found to ensure data integrity.
• Research, validate, and input data from multiple sources, utilizing your analytical skills to identify trends and patterns.
• Coordinate with market resources to identify gaps in network resources, source new resources, and update all relatable files, ensuring that our members have access to the best possible care.
• Generate actionable insights based on analysis, assisting markets in aligning with enterprise goals and initiatives, and driving business growth.
• Create and maintain a repository of files for the department, ensuring that data is reliable, consistently available, and easily accessible for use and/or review.

Essential Qualifications

To be successful in this role, you will need to possess the following essential qualifications:

• Bachelor's degree in Healthcare Administration, Healthcare Information Systems, or a related field, preferred.
• Minimum of 2-3 years of experience in data coordination, analysis, or a related role, with a strong understanding of the healthcare system, specifically utilization management and/or case management.
• Strong analytical skills, with proficiency in Microsoft applications, specifically Excel and SharePoint.
• Ability to work independently in a fast-paced environment, with a high level of attention to detail and organizational skills.
• Passion for helping our senior population, with a commitment to delivering exceptional results and making a positive impact on our members' lives.

Preferred Qualifications

While not essential, the following preferred qualifications will be highly regarded:

• Experience working in a remote or virtual environment, with a proven ability to self-motivate and manage your time effectively.
• Knowledge of healthcare operations, with a strong understanding of value-based care models and population health management.
• Certification in a related field, such as Certified Professional in Healthcare Management (CPHM) or Certified Case Manager (CCM).
• Experience with data visualization tools, such as Tableau or Power BI, and the ability to create interactive and dynamic dashboards.

Skills and Competencies

To excel in this role, you will need to possess the following skills and competencies:

• Analytical skills: Ability to collect, analyze, and interpret complex data, identifying trends and patterns, and making informed decisions.
• Technical skills: Proficiency in Microsoft applications, specifically Excel and SharePoint, with experience working with data visualization tools and electronic health records.
• Interpersonal skills: Ability to communicate effectively with clinical and administrative teams, building strong relationships and collaborating to achieve shared goals.
• Problem-solving skills: Ability to identify and resolve problems, thinking critically and creatively to develop innovative solutions.
• Time management skills: Ability to prioritize tasks, manage competing priorities, and meet deadlines in a fast-paced environment.

Career Growth Opportunities and Learning Benefits

At ArchWell Health, we are committed to supporting the growth and development of our team members. As a Coordinator, Utilization and Care Management, you will have access to a range of career growth opportunities and learning benefits, including:

• Professional development programs, such as training and certification opportunities, to enhance your skills and knowledge.
• Mentorship and coaching, with experienced professionals who can provide guidance and support.
• Opportunities for advancement, with a clear career path and opportunities for promotion.
• Access to industry conferences and events, to stay up-to-date with the latest trends and developments in healthcare.

Work Environment and Company Culture

At ArchWell Health, we pride ourselves on our positive and supportive work environment. Our company culture is built on a set of core values, including:

• Compassion: We care deeply about our members and are committed to delivering exceptional care and service.
• Excellence: We strive for excellence in everything we do, from the care we provide to the services we offer.
• Trust: We earn the trust of our members and partners, by being transparent, honest, and reliable.
• Respect: We respect the dignity and autonomy of our members, and are committed to delivering personalized care and service.
• Resilience: We are resilient and adaptable, with a strong ability to navigate change and uncertainty.

Compensation, Perks, and Benefits

As a Coordinator, Utilization and Care Management, you will be eligible for a range of compensation, perks, and benefits, including:

• A competitive salary, commensurate with experience, and a comprehensive benefits package.
• Opportunities for professional development and growth, with a clear career path and opportunities for advancement.
• A positive and supportive work environment, with a strong focus on work-life balance and employee well-being.
• Access to a range of perks and benefits, including flexible working arrangements, employee recognition programs, and social events.

Conclusion

If you are a motivated and compassionate individual, with a passion for healthcare and a commitment to delivering exceptional results, we encourage you to apply for this exciting opportunity. As a Coordinator, Utilization and Care Management, you will play a critical role in driving our mission forward, and making a positive impact on the lives of our members. Join our team today, and take the first step towards a rewarding and challenging career in healthcare.

Apply now, and become part of a vibrant community that is dedicated to revolutionizing the healthcare experience for seniors. We look forward to receiving your application, and exploring how you can contribute to our mission and values.