Care Coordinator

2 months ago

Bethesda, United States Cynet Systems Full time
Job Description:

Pay Range: $21hr - $26hr

Responsibilities:
  • Collaborates as an integral member of the WTC-NPN case management interdisciplinary team through clear communication and resource coordination to meet the shared goal of creating and nurturing a caring environment, supporting a better quality of life for the Member and reducing health care costs for the Program.
  • ssists RN Case Manager and Social Worker through contact with Members for assigned cases in scheduling appointments, arranging transportation, obtaining records, and documenting case management activities in case management software program.
  • ssists RN Case Manager and Social Worker with follow-up actions to verify delivery of durable medical equipment or other supplies as ordered in the treatment plan for Member.
  • pplies knowledge and experience in a healthcare environment as support to the case management team.
  • Notified case management team in a timely manner of identification of problems encountered by Member in obtaining services or supplies.
  • Promotes goodwill by assisting all involved parties on issues related to the coordination of the social services, as applicable.
  • Maintains privacy, as per Program guidelines, within a secure environment of documentation and communication.
  • Understands the organization's quality management program and the care coordinator's role within that program, with compliance of all SOPs within the Program's Operations Manual.
  • Is an effective team member; supports the team by pitching in at any level and effectively working across the organization to meet the needs of the case management program.
  • Takes ownership of personal actions and outcomes.
  • Embraces change; maintains an open mind and is flexible and adaptable in the face of ambiguity and change.
  • bility to work independently, multitask, and adjust priorities.
  • Proactively seeks opportunities to increase knowledge, skills, and abilities.
  • May perform other duties, as needed, to meet the needs of the business.
Physical Demands(Due to nature of job):
  • The physical demands described here are representative of those that must be met by a colleague to successfully perform the essential functions of this job.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • While performing the duties of this job, the colleague is regularly required to sit, talk, and hear.
  • The colleague frequently is required to use the fingers to make small movements such as typing, picking up small objects, or pinching fingers together.
  • The colleague is occasionally required to walk; reach with hands and arms; stoop, kneel, crouch, or crawl.
  • Sedentary work Sitting most of the time.
  • Specific vision abilities required by this job include close vision, peripheral vision, depth perception, and the ability to adjust focus.
  • The colleague moves within the facility in which their office is located to access file cabinets, documents, office machinery, and other equipment.
  • They also travel within their home office or facility in which their office is located and to locations outside of the facility, to attend meetings, training, events, and other business activities.
  • The candidate should be able to lift 10 pounds with assistance.
  • The candidate should be able to lift 20 pounds with assistance.
  • The colleague holding this position must have strong communication and organizational skills, and an ability to interact and work with others.
  • They must be able to work under time constraints and deadlines.
Experience:
  • 3+ years experience in medical record review, triage, customer service, prior authorizations, medical claims, and billing, assessing patient health, and/or related experience Communication Skills Excellent verbal, written, and interpersonal communication skills, organizational and analytical skills.
  • Superior customer service skills working proactively and collaboratively with client colleagues and client leaders, medical staff, and co-workers.
  • bility to effectively present information.
  • Excellent team player; ability to partner with internal and external clients and other cross-functional departments. Superior writing and communication skills.
  • Utilizes direct communication and proactive problem solving to address challenges and disagreements.
  • Reasoning Ability Ability to apply logical thinking to a wide range of intellectual and practical problems.
  • ble to deal with very difficult concepts and complex variables.
  • bility to comprehend, analyze, and interpret documents.
  • bility to solve problems involving several options in situations.
  • Requires intermediate analytical and quantitative skills.
Qualifications:
  • Must be an LPN or MA (medical assistant).
  • Proficiency in Microsoft Office Coordination and Service Delivery.
  • ssess members unmet needs, coordinate services, and treatment needs.
  • Promote adherence to care plan, developed in coordination with the member, primary care, and other treating providers.
  • ppreciate and comply with all confidentiality requirements.
  • Be proficient in how to obtain and document an accurate medical history.
  • Be skilled in developing treatment plans with realistic goals.
  • Understand information systems and data management Physical and Psychological Factors.
  • Understand the physical and psychological characteristics of illness and be familiar with methods for assessing an individual's level of XX.
  • Be capable of assisting individuals with the development of short- and long-term goals for recovery Case Management Concepts.
  • Be educated in current protocols and procedures for case management related to the WTC-NPN environment as related to the role of Care Coordinator Community Resources.
  • ccess and evaluate available resources and develop additional resources as the need arises.
  • Maintain relationship with WTC-NPN case management team and other members of WTC-NPN team, as applicable to the role as Care Coordinator Conditions of Employment Other Requirements Ability to travel on occasion.

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