Center Care Team - Care Coordinator, Bilingual

ArchWell Health•Oklahoma City, OK

About The Position

The Care Coordinator is responsible for supporting our members as they navigate the complex healthcare delivery system, ensuring every member receives the right care in the right setting. This individual will serve as a guide for the member and their families to ensure the member meets with the right specialists, inside or outside the center, in a timely manner. An ideal candidate will have a deep understanding of the healthcare ecosystem, have strong attention to detail, and be driven by a passion for providing quality care to seniors.

Requirements

Deep understanding of the healthcare ecosystem, ideally with experience in benefits and insurance authorization
Passion for helping senior members successfully carry out care plans
Ability to work effectively with diverse populations including staff, providers, members, family members, insurance carriers, vendors, and the public
Basic medical terminology
Understanding of Medicare criteria for equipment and supplies
Knowledge of CPT and ICD-10 codes
Working knowledge of specialists and community resources to assist the member
Strong communication and rapport-building ability among an interdisciplinary team
Ability to multi-task and manage competing priorities with high attention to detail
Proficient PC skills to include Microsoft Office
H.S. Diploma or equivalent required; degree or college level coursework in healthcare preferred
Must be bilingual (language dependent on member demographics) and able to pass formal proficiency exam as part of the selection process
2 years of experience in referral management or care coordination

Nice To Haves

Medical Assistant or medical administrative experience is helpful
Experience with EMR systems, ideally eClinicalWorks or similar
Embodies and serves as a role model of ArchWell Health’s Values: Be compassionate Strive for excellence Earn trust Show respect Stay resilient Always do the right thing

Responsibilities

Partner with ArchWell Health's multi-disciplinary care team to gain a deep understanding of each member's care needs, including identifying gaps and barriers to treatment
Coordinate referrals to external providers, vendors, and services to ensure care needs are met
Complete proper documentation for member referrals to ensure records are accurate and current
Build and nurture relationships with members and their families to successfully facilitate care coordination
Carry out all activities and provide ongoing monitoring as outlined in a member's care plan to ensure routine followup and progression is made on care plan goals
Adhere to HIPAA standards and confidentiality of protected health information (PHI)
Promote clear communication among care team and treating clinicians to ensure positive member outcomes
Assist members in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
Be the system navigator and point of contact for members and families, with patients and families having direct access for asking questions and raising concerns.
Additional duties, as assigned