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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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.
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| Story Behind the Need |
- Care Coordinator focuses on providing identified member population access to Long Term Care Services and a dedicated service for chronic management along with acute needs involving physical and behavioral health, while also addressing social determinants of health needs.
- Backfill for FTE (VSP)
- This team fosters a collaborative, supportive, and fast-paced work environment where members are encouraged to share ideas, communicate openly, and learn from one another. Team members work closely across different functions, creating opportunities to contribute to meaningful projects while developing both technical and interpersonal skills. The culture emphasizes teamwork, accountability, innovation, and continuous improvement.
Key projects typically involve solving real business challenges, improving existing processes, and developing solutions that create value for customers and the organization. Team members are given opportunities to take ownership of projects, work with cross-functional partners, and see their contributions through from initial planning to implementation. This combination of collaboration, hands-on experience, and exposure to impactful projects makes the team an engaging environment for professional growth.
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| 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?
| - 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.
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| Candidate Requirements |
| Required: High School diploma or GED | Preferred: | |
| Required: NA | Preferred: | |
Years of experience required: 1-2 years of Medical Experience preferably (Doctor s Office, Hospital, or any Medical experience)
Disqualifiers: huge gaps in resume
Additional qualities to look for: candidates who exceeded expectations |
- Top 3 must-have hard skills stack-ranked by importance
| 1 | organized |
| 2 | adaptable |
| 3 | critical thinker |