Care Management Coordinator (Bilingual Mandarin Or Cantonese)
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Overview
Job Description
Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California's fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.
Who Are We?
Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members' culture and values.
Why Join Us?
We're on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you'll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.
Job Summary
The Care Management Coordinator plays a pivotal role in supporting the Care Management department by assisting with the coordination, management, and tracking of care management activities. This role ensures the efficient delivery of services and ensures that all projects and tasks are executed on time, in compliance with regulatory standards, and in alignment with department goals. The Care Management Coordinator works closely with case managers, providers, and other stakeholders to facilitate seamless communication and improve overall care outcomes.
Functions & Job Responsibilities
- Member Outreach & Support: Assist case managers with member outreach, including scheduling appointments, conducting assessments, referrals, and providing educational materials. Support case managers in ensuring members' needs are addressed promptly and appropriately. Ensure all documentation, including member assessments, plans, and case notes, is accurate, up to date, and in compliance with all relevant regulations.
- Communication & Coordination: Organize meeting schedules, training sessions, and project timelines. Prepare materials for meetings and presentations. Monitor the department's email and fax inboxes, directing messages appropriately and complete member mailings as assigned.
- Workflow & Process Improvement: Develop and maintain departmental workflows, ensuring they are up to date with best practices. Review processes and identify areas for improvement to increase efficiency.
- Data Management: Extract, analyze, and report on data from various sources, ensuring accuracy and consistency. Create tables, graphs, and reports to track progress, identify trends, and measure performance. Request additional data as needed and maintain data integrity across systems.
- Regulatory Compliance: Ensure all necessary regulatory reports and documentation are prepared on time. Coordinate with staff to ensure timely submissions and follow-up actions.
- Additional duties, as assigned
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