Job Summary :

Women & Children's Health Coordinator II is responsible to contributes to team coordination and member outcomes.

Essential Functions :

• Act as a liaison and advocate of members and providers
• Enhance member engagement and access to care by assisting member to integrate and optimize CareSource programs
• Have an understanding of benefits and assist in educating members of benefits as appropriate
• Enhance effectiveness of member care by acting as a resource of knowledge concerning women and children's health, care and concepts, plan benefits, and options for access to care
• Initiate outreach contact with member to assist with coordinating care, continued enrollment / eligibility and follow up appointments
• Appropriately solicit health information from members through telephonic interviewing as directed for specific initiatives and projects
• Facilitate and coordinate services based specific initiative, focus developed in collaboration with all stakeholders
• Establish positive communications with members and providers via telephonic contact
• Assist team when requested, with tracking, compiling data, and computing needs
• Maintain current, timely, and accurate documentation within the clinical platform-Guiding Care following protocols and guidelines of department
• Actively participates in team meetings
• Develop and maintain knowledge of the company's business and regulatory environments
• Facilitates and participates in coordination of community events.
• Develops process and tracking of outcomes for community events and member outcomes
• Perform any other job duties as requested

Education and Experience :

• High School Diploma or General Education Diploma (GED), is required
• Previous experience in health-related fields is preferred

Competencies, Knowledge and Skills :

• Basic proficiency with Microsoft Office Suite to include Outlook, Word and Excel
• Sensitivity to and experience working within different cultures
• Comfortable and interested in working with members around issues of healthcare access and adherence
• Appropriate language proficiency
• Familiarity with healthcare field
• Excellent understanding of local and community resources
• Excellent interpersonal and telephonic skills
• Ability to work within a team environment, manage time and multitask
• Ability to work in compassionate, supportive, and collaborative ways with members and families
• Self-motivated and inquisitive
• Comfort with asking pertinent questions
• Ability to work in a fast-paced environment
• Ability to demonstrate and promote ethical conduct, empathy, and sensitivity towards members
• Ability to develop positive relationships with all stakeholders
• Ability to accept and appreciate feedback
• Ability to provide input in assessing the needs of members and participate in the development of comprehensive care plans
• Knowledge of healthcare resources, benefits and entitlements in the local area
• Organized, detail-oriented and conflict resolution skills

Licensure and Certification :

To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position.

CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment.

Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.

CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position.

Request for accommodations will be completed through an interactive review process.

Working Conditions :

• General office environment; may be required to sit or stand for extended periods of time
• Travel may be required-up to 50% or more

Compensation Range :

$34,500.00 - $55,100.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.

We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type : Hourly

Hourly

Competencies :

Last updated : 2024-04-27