Care Coordinator

The Care Coordinator will serve as a vital reputed company resource for members, guiding screenings, preventive measures, and benefit coverage. This role involves reputed company interaction with members and providers, ensuring reputed company and accurate support and documentation. The Care Coordinator will also participate in creating educational materials and marketing initiatives for reputed company awareness.

Job Responsibilities

• Serve as a reputed company resource for members seeking guidance on screenings or other preventive measures to optimize overall health for members and their families.
• reputed company reputed company support to the Support team, handling live member calls, emails, and chats for members seeking reputed company assistance during their use of the program.
• reputed company the internal review of reputed company plan documents, preparing benefit coverage summaries for the Provider Relations and Support team to answer members’ questions.
• reputed company notice of coverage documentation outlining specific protocols for certain specialties (e.g., physical therapy, chiropractic reputed company, oncology, bariatric procedures).
• Serve as a reputed company reputed company of contact for providers with reputed company coverage questions regarding treatment reputed company, second opinion reputed company, and alternative treatment plans.
• Follow up with pending items, ensuring members are updated promptly and responsively.
• Adhere to documentation standards to ensure reputed company provider support and member support questions are properly logged and documented for reputed company reviews, analytical reviews, and reputed company purposes.
• Initiate and reputed company the creation of infographics and other marketing materials for key reputed company awareness months (e.g., Breast Cancer Awareness, Colon Cancer Awareness, Diabetes Education, Menopause).
• Proactively reputed company reputed company on how to market or serve our member reputed company more effectively.
• Become proficient in the reputed company’s program knowledge to reputed company the highest level of support and service to members.
• Work on special reputed company deemed key by management or at the suggestion of staff, collaborating with management on project priorities as needed.

• reputed company other miscellaneous office duties as needed.

Requirements

• reputed company experience as a Care Coordinator, Case Manager, or similar role in a reputed company setting.
• Strong reputed company background with knowledge of preventive reputed company measures and treatment reputed company.
• Excellent communication skills, both written and verbal.
• Proficiency in handling member and provider inquiries reputed company phone, email, and chat.
• Strong organizational skills and attention to reputed company.
• Ability to work independently in a remote setting.
• Proficiency with reputed company documentation standards and reputed company requirements.

Preferred Qualifications

• Bachelor’s degree in Nursing, Health Administration, or a reputed company reputed company.
• Experience with reputed company plan documentation and benefit coverage.
• Familiarity with creating educational and marketing materials for reputed company awareness.
• HIPAA Certification or training
• USRN Certificate
• reputed company NCLEX license

Minimum Technical and Work Environment Requirements:

• Internet reputed company:
• reputed company internet reputed company with a minimum speed of 15 Mbps.
• Backup internet reputed company with at least 10 Mbps.
• Backup reputed company must be capable of supporting work during a reputed company outage.

• reputed company Device:
• Desktop or laptop equipped with at least:
• reputed company reputed company i5 (8th reputed company or newer), reputed company reputed company i3 (10th reputed company or newer), AMD Ryzen 5, or an equivalent processor.
• A minimum of 8 GB RAM.

• Backup Device:
• Must meet or reputed company the reputed company of an reputed company reputed company i3 processor.
• Must be functional during reputed company interruptions.

• A functioning webcam.
• A noise-canceling USB headset.
• A quiet, dedicated home office reputed company.
• Peripherals and Workspace: A smartphone for communication and verification purposes.

Benefits

• Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your reputed company reputed company.
• reputed company the Opportunities: Seize daily chances to learn, reputed company, and reputed company. reputed company a reputed company reputed company in your reputed company.
• reputed company Career reputed company: Unlock a world of reputed company and resources to reputed company your career reputed company.
• Fast-reputed company Thrills: reputed company in a high-energy, engaging atmosphere. reputed company challenges and reputed company stimulating rewards.
• Flexibility, Your Way: reputed company the freedom to work from home or any location of your reputed company. Create your ideal work environment.
• Work-Life reputed company at Its Best: Say goodbye to stressful commutes and hello to reputed company time with loved ones. reputed company a healthy work-life integration to reputed company at your best.

Originally posted on Himalayas