Description
WHO WE ARE
NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers, providers, and payors, we help to make healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
NeueHealth delivers clinical care to health consumers through our owned clinics – Centrum Health and Premier Medical – as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven, consumer-centric approach, we are committed to transforming healthcare and creating a better care experience for all.
JOB SUMMARY
The role of the Care Coordinator is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, and advocating to ensure member’s receive services and resources required to meet desired health and social outcomes. The Care Coordinator is responsible for providing patient centered care across the care continuum.
DUTIES & RESPONSIBILITIES
The Care Coordinator job description is intended to point out major responsibilities within the role, but it is not limited to these items.
- Collect relevant clinical data to support the care planning process.
- Care Plan support and intervention to transition members to optimal levels of health and self-management, as directed.
- Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population.
- Provide transition of care interventions as required.
- Facilitate care coordination, self-management planning, discharge planning, and health education as directed.
- Facilitate linkage to appropriate community resources to address social determinants of health.
- Adjudicate referrals according to defined business rules across all care settings.
- Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.
EDUCATION AND PROFESSIONAL EXPERIENCE
(LICENSURES AND CERTIFICATIONS)
- High School Diploma
- Minimum 2 years of experience in medical management.
- Capacity to interpret health plan benefit decisions.
- Bilingual Required (English/ Spanish)
- Certification as a Medical Assistant preferred.
PROFESSIONAL COMPETENCIES
- High level of critical thinking and problem-solving skills
- Strong work ethic and overall positive attitude
- Effective communication skills including verbal and written.
- Ability to manage time effectively, understand directions, and work independently in a fast-paced environment.
- Demonstrated flexibility, organization, and self-motivation.
- Highly adaptable to change.
WORK ENVIRONMENT
The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer.
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