Coordinator, Care Management Services

Care Management Services Coordinator

ArchWell Health is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities.

Job Summary:
The Care Management Services Coordinator reports to the Director of Care Management. This position is responsible for supporting our members as they navigate the complex healthcare delivery system. The Care Management Services Coordinator will support Care Management team with numerous member activities such as coordinating care, obtaining necessary medical records, appointment scheduling, assisting members in accessing community-based resources and health plan benefits, tracking workflow metrics, and other duties as assigned. An ideal candidate will understand the healthcare system, strong attention to detail, and be driven by a passion for providing quality care to seniors.

Duties/Responsibilities:

• Partner with ArchWell Health's multi-disciplinary care team to gain a deep understanding of each member's care needs
• Develop relationships with healthcare facility and payor teams to increase collaboration and information sharing
• Work with the care management team to ensure members’ care needs are met
• Complete proper documentation to ensure records are accurate and current
• Obtain outside medical records to ensure continuity of care and nurture relationships with members and their families to successfully facilitate care coordination
• Adhere to HIPAA standards and confidentiality of protected health information (PHI)
• Promote clear communication among care team
• Assist members in solving potential issues related to the health care system, financial or social barriers (e.g., transportation services or prescription assistance).
• Perform all tasks with a hyper focus on member experience; including processing of member phone messages, returning calls, routing calls to other team members as appropriate, and calling members to obtain and relay pertinent information
• Additional duties as assigned

Required Skills/Abilities:

• Deep understanding of the healthcare system, ideally with experience in managed care and Medicare Advantage
• Passion for helping senior members successfully carry out care plans
• Ability to work effectively with diverse populations including staff, providers, members, family members, insurance carriers, vendors, and the public
• Working knowledge of specialists and community resources to assist the member
• Strong communication and rapport-building ability among an interdisciplinary team
• Ability to multi-task and manage competing priorities with high attention to detail
• Proficient skills in Microsoft Office Suite products including Word, PowerPoint, Outlook, and Excel
• Ability to function independently in a remote environment with a high level of autonomy

Education and Experience:

• Degree or college level coursework in healthcare required
• Strong understanding of medical terminology
• Medical Assistant or medical administrative experience preferred
• Experience with EMR systems