Member Care Coordinator
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Overview
Compensation
$25-$28/hour
Job Description
Job Title:Member Care CoordinatorLocation:Albuquerque, New Mexico Job Type:ContractExpected Hours per Week:40 hours per weekSchedule:8-5, M-F, HybridPay Range:$25 – 28 per hour Role OverviewThis position is responsible for conducting home health assessments, engaging members in their personal health plans, and supporting clinicians within the Medical Management department. The role focuses on member outreach, education, care plan adherence, and non?clinical case support while maintaining strict compliance with HIPAA and corporate policies.The ideal candidate has experience in care coordination, managed care systems, or clinical support, strong communication skills, and the ability to build trust with members to improve health outcomes.What You’ll Do
- Conduct home health assessments and complete system updates
- Perform member outreach and follow?up regarding individual health care plans
- Build strong relationships with members to encourage care plan compliance
- Identify issues early and escalate concerns to Case Managers as needed
- Educate members on health care programs using approved scripts and motivational interviewing
- Encourage program participation by scheduling appointments and coordinating services such as transportation
- Generate and send member correspondence manually, electronically, or telephonically
- Conduct routine check?ins to review individual care plan goals and progress
- Maintain productivity and quality standards based on departmental requirements
- Support clinical staff by completing non?clinical case management functions to open, manage, and close cases
- Receive, analyze, research, and respond to member and provider inquiries
- Process incoming information to determine needs and route issues to appropriate internal teams
- Perform accurate data entry to update member and provider information
- Obtain missing or required documentation via phone or written correspondence
- Support claims?related activities, including research and obtaining medical records or letters of medical necessity
- Reopen or initiate cases as needed and refer cases to clinicians for review
- Collaborate with internal departments including Marketing, Provider Affairs, and SSD
- Identify and report system issues to the help desk
- Participate in special projects and maintain ongoing communication with management
- Bachelor’s degree in Social Work or Psychology OR
- LVN or LPN with 1+ year of managed care experience OR
- RN OR
- 3+ years of care coordination experience for a state managed or waiver program OR
- 3+ years of managed care systems experience
- Knowledge of medical terminology
- Experience coordinating member medical needs and analyzing member situations
- Strong customer service and member engagement skills
- Proficiency with Microsoft Office and PC?based systems
- Excellent verbal and written communication skills
- Experience developing written correspondence and educating members on medical topics
- Coaching skills, including motivational interviewing
- Current state driver’s license, reliable transportation, and applicable insurance
- Ability and willingness to travel for home health assessments
- Adhere to HIPAA, Diversity Principles, Corporate Integrity, and Compliance Program policies
- Maintain strict confidentiality of company and member information
- Communicate professionally and effectively with members, providers, coworkers, and leadership
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FAQs About Member Care Coordinator Jobs at Epitec, Inc
What is the work location for this position at Epitec, Inc?
This job at Epitec, Inc is located in Albuquerque, NM, 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 Epitec, Inc?
Candidates can expect a pay range of $25–$28 per hour for this role.
What employment applies to this position at Epitec, Inc?
The employer has not provided this information. This may be discussed during the hiring process.
What is the process to apply for this position at Epitec, Inc?
You can apply for this role at Epitec, Inc 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.