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Case Management Coordinator

Doctors Healthcare PlansCoral Gables, Florida

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Overview

Schedule
Full-time
Career level
Senior-level
Remote
On-site
Benefits
Health Insurance

Job Description

Position Purpose: The Case Management Coordinator plays an important and unique role in the Care Coordination and Case Management team.

Responsibilities:

  • Have a thorough understanding of the many benefits and coverage offered by the different managed care products, including all DHCP plans.
  • Improve coordination of patient care, reduce and remove cultural and healthcare system barriers.
  • Promote timely treatment.
  • Empower and coach patients to become self-advocates.
  • Assist patients navigate the maze of the managed care delivery system.
  • Essential Job Functions:
    • Assist Case Management Manager with MBR’s TOC outreach calls.
    • Be the system navigator and point of contact for patients enrolled in managed care programs, assist patients with benefit coverage and access to care questions/concerns.
    • Provide enhanced care coordination services assisting patients in problem solving with issues related to the health care system, financial or social barriers (e.g. transportation as appropriate, prescription drugs formulary assistance, etc.)
    • Track and support patients when they obtain services such as. Emergency Departments, Hospitals, and other health care offices and facilities. Provide immediate care coordination services after ED and hospital discharges.
    • Identify and link patients with cultural and community resources to facilitate referrals and respond to social services needs.
    • Collaborate with other services providers for care coordination and case management activities.
    • Work with patients over the phone to review and remind their plan of care and progress towards their care management goals.
    • Conduct outreach activities to assigned members by phone, mail or any other form of communication method to promote program engagement and marketing strategy assist in data collection and report statistical information.
    • Perform other job duties as required by manager/supervisor.

    Qualifications:

    • Minimum 2 years in a healthcare administrative role, preferred.
    • Excellent computer skills - data entry, outlook, excel.
    • Strong attention to detail.
    • Excellent verbal and written communication skills.

    Note:  This description indicates, in general terms, the type and level of work performed and responsibilities held by the team member(s).  Duties described are not to be interpreted as being all-inclusive or specific to any individual team member.   

    No Third Party Agencies or Submissions Will Be Accepted.   Our company is committed to creating a diverse environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. DFWP   Opportunities posted here do not create any implied or express employment contract between you and our company / our clients and can be changed at our discretion and / or the discretion of our clients. Any and all information may change without notice. We reserve the right to solely determine applicant suitability. By your submission you agree to all terms herein.

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    FAQs About Case Management Coordinator Jobs at Doctors Healthcare Plans

    What is the work location for this position at Doctors Healthcare Plans?
    This job at Doctors Healthcare Plans is located in Coral Gables, Florida, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.
    What pay range can candidates expect for this role at Doctors Healthcare Plans?
    Employer has not shared pay details for this role.
    What employment applies to this position at Doctors Healthcare Plans?
    Doctors Healthcare Plans lists this role as a Full-time position.
    What experience level is required for this role at Doctors Healthcare Plans?
    Doctors Healthcare Plans is looking for a candidate with "Senior-level" experience level.
    What benefits are offered by Doctors Healthcare Plans for this role?
    Doctors Healthcare Plans offers Health Insurance for this position. Actual benefits may vary depending on the employer's policies and employment terms.
    What is the process to apply for this position at Doctors Healthcare Plans?
    You can apply for this role at Doctors Healthcare Plans either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.