Position Purpose
Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.
Responsibilities
- Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate
- Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed
- Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan
- Communicates with care managers, practitioners,
and others as needed to facilitate member services and to ensure continuity of care/service
- May support performing service assessments/screenings for members and documenting the member’s care needs
- Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed
- Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
- Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager
- Provide education on benefits and resources available
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience
Requires a High School diploma or GED. Requires 1 – 2 years of related experience
License/Certification
- For Arkansas Total Care plan - Bachelor’s degree in social science/health-related field or a high school diploma with at least
📌 Care Coordinator II (Argentina)
🏢 Centene
📍 Argentina
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