Job Description

WHO WE ARE

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality coordinated care. By uniquely aligning the interests of health consumers providers and payors we help to make healthcare accessible and affordable to all populations across the ACA Marketplace Medicare and Medicaid.

NeueHealth delivers clinical care to health consumers through our owned clinics Centrum Health and Premier Medical as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven consumer-centric approach we are committed to transforming healthcare and creating a better care experience for all.

JOB SUMMARY

The role of the Care Coordinator is to promote quality cost-effective outcomes for a population by facilitating collaboration and coordination across settings identifying member needs and advocating to ensure members receive services and resources required to meet desired health and social outcomes. The Care Coordinator is responsible for providing patient centered care across the care continuum.

DUTIES & RESPONSIBILITIES

The Care Coordinator job description is intended to point out major responsibilities within the role but it is not limited to these items.

• Collect relevant clinical data to support the care planning process.
• Care Plan support and intervention to transition members to optimal levels of health and self-management as directed.
• Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned population.
• Provide transition of care interventions as required.
• Facilitate care coordination self-management planning discharge planning and health education as directed.
• Facilitate linkage to appropriate community resources to address social determinants of health.
• Adjudicate referrals according to defined business rules across all care settings.
• Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.

EDUCATION AND PROFESSIONAL EXPERIENCE

( LICENSURES AND CERTIFICATIONS)

• High School Diploma
• Minimum 2 years of experience in medical management.
• Capacity to interpret health plan benefit decisions.
• Bilingual Required (English/ Spanish)
• Certification as a Medical Assistant preferred.

PROFESSIONAL COMPETENCIES

• High level of critical thinking and problem-solving skills
• Strong work ethic and overall positive attitude
• Effective communication skills including verbal and written.
• Ability to manage time effectively understand directions and work independently in a fast-paced environment.
• Demonstrated flexibility organization and self-motivation.
• Highly adaptable to change.

WORK ENVIRONMENT

The majority of work responsibilities are performed in an open office setting carrying out detailed work sitting at a desk/table and working on the computer.

As an Equal Opportunity Employer we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth our consumers and the communities we serve. All qualified applicants will receive consideration for employment without regard to race color religion sex age national origin protected veteran status disability status sexual orientation gender identity or expression marital status genetic information or any other characteristic protected by law.

Required Experience:

IC

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