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CareSource · 1 day ago

REMOTE - Integrated Duals Program Coordinator II - R11528

United States

Full-time

Remote

Mid Level

$47K/yr - $76K/yr

3+ years exp

CareSource is a healthcare organization seeking an Integrated Duals Program Coordinator II to support care coordination and engagement activities. This role involves mentoring staff, managing complex escalations, and ensuring member-centered services while maintaining documentation and compliance with standards.

Health CareMedicalNon Profit

Comp. & Benefits

Responsibilities

Understand, demonstrate, and model complex and comprehensive person-centered thinking

Perform all duties of an Integrated Duals Program Coordinator I, including outreach to members and providers, coordinating schedules and services, documenting care coordination activities, and ensuring compliance with contractual and regulatory standards

Act as first point contact of escalation for complex or urgent member and provider needs, coordinating responses and involving the supervisors and collaborating with cross functional teams to ensure timely resolution of high priority requests

Mentor and support Integrated Duals Program Coordinator I's and new staff by answering questions, sharing best practices, and ensuring consistency in documentation and workflow processes

Maintains accurate and timely documentation and internal systems to ensure visibility across teams and continuity of service, while also ensuring ongoing collaboration and communication with the internal clinical team

Serves as the primary point of contact for managing complex and urgent escalations while providing warm transfers, real time responses, and downstream resolution coordination as required

Coordinates provider and member scheduling efforts, supports high-volume outreach campaigns, and ensures task completion across multiple systems. Continuously and proactively engage members through participating in information collection and assertive outreach which includes via telephone calls

Identify potential social support or community-based needs and initiates nonclinical referrals and coordination with care managers

Monitors service delivery to ensure appropriateness of care and compliance with any waiver, including the most complex

Maintain current and accurate documentation of contacts, case notes, referrals, and assessments in the electronic record according to current accreditation and compliance guidelines

Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation

Look for ways to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process

Performs any other job related duties as requested

Qualification

Healthcare experienceCase management knowledgeMicrosoft OfficeTrauma informed trainingCultural competencyCommunication skillsOrganizational skillsProblem-solving skills