Care Coordinator

Description

• Point of contact for individual members and supports the member by taking a holistic, and supportive approach to the member's healthcare.
• The Care Coordinator is sensitive to the needs and characteristics of the unique population of Members serviced by the WTC-NPN.
• The Care Coordinator collaborates on an interdisciplinary team including RN Case Managers and Social Worker to meet the needs of WTC-NPN members assigned for case management services.
• 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
• Assists 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.
• Assists 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.
• Applies 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
• Ability to work independently, multitask, and adjust priorities
• Proactively seeks opportunities to increase knowledge, skills, and abilities
• Moves within the facility in which their office is located to access file cabinets, documents, office machinery, and other equipment.
• 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.
• May lift, carry, push, and/or pull objects weighing up to 10 -20 lbs.
• 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 impairment
• 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
• Access 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
  
  

Qualifications

• High School diploma
• Associate's Degree (or higher) in clinical or medical health administration, or related field preferred.
• Must be an LPN or MA (medical assistant)
• 3+ years' experience in medical record review, triage, customer service, prior authorizations, medical claims, and billing, assessing patient health, and/or related experience
• 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.
• Ability 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.
• Able to work under time constraints and deadlines.
• Must write succinctly and clearly and explain complex situations in plain English to technical and non-technical audiences.
• Utilizes direct communication and proactive problem solving to address challenges and disagreements.
• Reasoning Ability to apply logical thinking to a wide range of intellectual and practical problems.
• Able to deal with very difficult concepts and complex variables.
• Ability to comprehend, analyze, and interpret documents.
• Ability to solve problems involving several options in situations.
• Requires intermediate analytical and quantitative skills. Other Skills and Abilities,
• Proficiency in Microsoft Office Coordination and Service Delivery
• Assess 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
• Appreciate 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
  
  

Benefits

Healthcare Insurance: Synectics offers eligible employees and their dependents healthcare coverage through BlueCross BlueShield of Illinois. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics. Premiums are subsidized by Synectics.

Dental Insurance: Synectics offers eligible employees and their dependents a dental plan through MetLife. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.

Vision Insurance: Synectics offers eligible employees vision insurance through VSP. Eligibility begins on the 1st day of the calendar month following 60 days of continuous full time employment with Synectics.401(k) Plan: The Synectics Inc. Investment Savings Retirement Plan. Synectics offers all employees who are 21 years of age or older the opportunity to invest in the 401(k) Plan on the first enrollment date that is at least 30 days after employment begins. Enrollment dates are each January 1st, April 1st, July 1st, and October 1st.

Technical Certification Bonus: Synectics is pleased to award its employees a bonus of up to $500 for an approved professional certification. In determining the bonus amount, Synectics will consider the cost of the test(s) for any certification relating to your current position, achieved during your employment with us. Only one Certification Bonus per calendar year may be awarded per employee. Only current, active employees will be eligible to receive this bonus. It will be awarded 90 days after the Synectics office has received documentation confirming the successful completion of the certification.

Synectics is an equal opportunity employer.