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CareSource · 6 hours ago

REMOTE - Integrated Duals Program Coordinator I - R11084

United States

Full-time

Remote

Entry Level

$41K/yr - $66K/yr

1+ years exp

CareSource is a healthcare organization dedicated to providing quality care and support. The Integrated Duals Program Coordinator I plays a crucial role in supporting care management activities, ensuring timely service delivery, and enhancing member satisfaction through coordinated outreach and engagement with members and providers.

Health CareMedicalNon Profit

Comp. & Benefits

Responsibilities

Understand and effectively demonstrate comprehensive person-centered thinking

Conducts outreach to members and providers to confirm service details, coordinate scheduling, address general inquiries, and ensure accurate documentation of care coordination activities. Coordinate across diverse services by working with providers, community partners, and member/ caregivers to manage scheduling, service updates, and administrative changes, as needed

Serves as a support resource for member and provider increase, request, escalations, or concerns by coordinating responses and ensuring issues are routed or addressed promptly

Proactively identify and collaborate with care managers, providers, and other partners as needed to support member services and ensure smooth communication and continuity across care activities

Monitor service delivery to ensure appropriateness of care and compliance with any waiver

Gather and document service-related information during members interaction to support diverse specialty care coordination, service planning, or referral processes

Maintain accurate documentation and maintenance of member records and alignment with regulatory standards, ensuring timely distribution to appropriate internal teams or provider partners as needed

Follow established standards of practice, internal policies, and procedures to ensure compliance with contractual obligations and applicable regulatory requirements

Identify member and provider needs and facilitate referrals to appropriate internal teams such as care management or community-based support programs

Engage members through participating in information collection and assertive remote outreach to assist with comprehensive care coordination activities to support effective member outcomes

Provide basic education to members and providers on available benefits and resources; escalates complex needs or urgent issues to the rapid response team for immediate follow up and coordination. 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 share with leadership to make it a standard, repeatable process

Performs any other job related duties as requested

Qualification

Healthcare experienceMicrosoft OfficeHealthcare lawsCare coordinationMulti-taskingCultural awarenessEffective communicationCritical thinkingOrganizational skills