JOB SUMMARY:

 

The Care Coordinator works within a multidisciplinary care team to help assist with the care of members enrolled in CPHL Managed Long Term Care program and other LOBs to facilitate, schedule and arrange a variety of treatments and healthcare related activities.

REPORTING RELATIONSHIPS:

 

Reports to Care Coordination Manager and shares a collaborative relationship with the Care Management Team and other departments involved in member’s care.

 

PRIMARY RESPONSIBILITIES:           

Assists in scheduling of ongoing member visits such as UAS Assessments for the Field Assessors which includes tracking and rescheduling of canceled appointments. Must reach daily scheduling quotas Provide a daily report of all scheduled visits Assists with uploading all UAS documents into members files accordingly Generates member correspondence and handles mailings as needed. Coordinates communication between Field Assessors and other members of the multidisciplinary team Documents daily calls and follows care coordination documentation guidelines which includes but are not limited to: documentation of problems, interventions and outcomes. Acts as liaison and member advocate between the member/family, physician(s) and the care team to ensure timely and effective communication in regards to scheduling the member’s assessment Participates in on-going education activities Ensures that all job responsibilities are carried out in compliance with CPHL policies, NY State and Federal regulations. Other assigned duties

Education and Experience:

 

Education:

Required:   HS Diploma

 

Preferred:  Bachelor’s Degree

 

Type of Experience:

                                         

Required:

2 years customer services experience Strong written and verbal communication skills Computer proficiency Strong multi-tasking abilities

Preferred:

Experience working within a managed care environment Experience working with the geriatric population Bilingual

Specific Technical Skills:

Preferred: Computer proficiency in Microsoft Office applications, Excel

Certifications/Licensure:

Required: None

           

SCOPE INFORMATION

# Direct Reports:         0         

           

Physical Requirements:

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Must be able to operate a computer and telephone

The above statements are intended to describe the general nature and level of work performed by individuals assigned to the job classification.  They should not be construed as an exhaustive list of all responsibilities, duties and skills required.