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BusinessOperations - Care Coordinator II - J01000

Mindlance

Remote-MO, MO(remote)

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JOB DETAILS
SKILLS
Accounts Receivable, Behavioral Health, Business Growth, Communication Skills, Community Providers, Disease, Diversity, Documentation, Documentation Plan, Driver's License, Health Plan, Health Plan Membership, Healthcare, Healthcare Providers, Medical Records, Member Orientation, Microsoft Excel, Microsoft Outlook, Microsoft Word, Needs Assessment, Organizational Skills, Performance Metrics, Pharmacy, Presentation/Verbal Skills, Record Keeping, Regulatory Requirements, State Laws and Regulations, Support Documentation, Training/Teaching, Willing to Travel, Writing Skills
LOCATION
Remote-MO, MO(remote)
POSTED
10 days ago
Position Purpose:
Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.

Education/Experience:
Requires a High School diploma or GED
Requires 1 2 years of related experience



License/Certification:

For Florida-Sunshine Health Plan - All interactions with members are done telephonically.
For Arkansas Total Care plan - This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in AR or border city. Travel: 30%. required" "Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate

Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed

Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan

Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service

May support performing service assessments/screenings for members and documenting the member s care needs

Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed

Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards

Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager

Provide education on benefits and resources available
Performs other duties as assigned.

Complies with all policies and standards.

EEO:

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

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Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically and documents the plan for care/services of activities.

Provider, pharmacy & member inbound and outbound via phone
20-25 calls in a day
Story Behind the Need
  • What is the purpose of this team?
  • What is driving this need? (ex. Backfill for FTE or CW, new project, business growth)
  • Describe the surrounding team (team culture, work environment, etc.) & key projects.
  • Do you have any additional upcoming hiring needs, or is this request part of a larger hiring initiative?
Position to assist with growing need of behavioral health team . This is a fast paced environment with a very supportive team.
Typical Day in the Role
  • Walk me through the day-to-day responsibilities and a description of the project (Outside of the Workday JD).
  • What are performance expectations/metrics?
  • What makes this role unique?
 Telephonic inbound and outbound phone calls most of the day. Conducting assessments with members that have been recently hospitalized for behavioral health concerns.

Applications trucare, teams, excel, word, outlook, state websites for health records
Candidate Requirements
Education/Certification Required: High School diploma minimum Preferred:
Licensure Required: None Preferred:
Years of experience required: 1-2 years in some sort of healthcare setting. Comfortable with behavioral health.

Disqualifiers:

Additional qualities to look for:
  • Top 3 must-have hard skills stack-ranked by importance
 1 tech savvy (will be working in multiple systems at once with multiple screens)
2 Can type and talk at the same time. Document in real time.
3 Friendly with strong communication skills verbally and written. MUST be organized
Candidate Review & Selection
  • Shortlisting process
  • Candidate review & selection
  • Interview information
  • Onboard process and expectations
 Projected Manager Candidate Review Date: 24-48 hours of qual

Type of Interviews:
 Teams CAMERA ON
Required Testing or Assessment (by Vendor):
Next Steps
  • Do you have any upcoming PTO?
 no
  • Colleagues to cc/delegate
Compliance Questions
  • (Department of Defense) Will this role operate, support, or utilize DOD data, systems, and/or infrastructure, requiring a National Agency Check with Law and Credit Checks (NACLC)? (Vendors: If yes, NACLC check is required).
no

About the Company

M

Mindlance

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