Care CoordinatorNew
The opportunity
Hi, we're Oscar. We're hiring a Care Coordinator to join our team.
What you'll do
Be the primary bridge and entry point for all members and providers working with the Care Management team.
Field inbound phone calls from members and providers, using optimized IVR: pathways to ensure accurate routing and striving for one-call resolution.
Manage care coordination for members across various programs, including CCM,: TOC, and unassigned populations, across a variety of settings (hospitals, outpatient clinics, home care, supply vendors, dialysis) while maintaining strict confidentiality and the highest level of professionalism.
Manage non-emergent medical transportation (NEMT) via UberHealth for members,: strictly following program guardrails to decrease readmissions and improve health outcomes.
Handle internal escalations to specialized departments such as Claims, Eligibility, and Care Navigation.
Lead special projects as subject matter experts.
What they're looking for
- Collaborate cross-departmentally to create a positive member experience.
- Perform all other tasks or additional responsibilities.
- + years of experience with care coordination and navigation in a healthcare setting.
- Proficient computer literacy skills, with a strong aptitude for using EMRs: (like Medecision) and telephony systems (like InContact) for seamless workflows.