Duties/Responsibilities:

• PartnerwithArchWellHealth'smulti-disciplinarycareteamtogainadeepunderstandingof eachmember's careneeds,includingidentifying gapsand barriersto treatment
• Coordinatereferralstoexternalproviders, vendors, and servicestoensurecare needsaremet
• Completeproperdocumentationformemberreferralsto ensurerecordsareaccurateand current
• Build and nurture relationships with members andtheir families to successfully facilitate care coordination
• Carry outall activities andprovide ongoingmonitoringas outlinedin amember'scare plan toensure routine followup and progressionis made on care plan goals
• AdheretoHIPAAstandardsandconfidentialityofprotectedhealthinformation(PHI)
• Promoteclearcommunicationamongcareteamandtreatingclinicianstoensurepositive 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.
• Additionalduties,asassigned

• Deepunderstandingofthehealthcareecosystem, ideally with experience in benefits and insurance authorization
• Passionforhelping seniormemberssuccessfullycarryoutcareplans
• Ability towork effectively with diverse populationsincluding 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
• Workingknowledgeof specialistsandcommunityresourcestoassistthemember
• Strongcommunication and rapport-building ability among an interdisciplinary team
• Ability to multi-task and manage competing prioritieswith high attention to detail
• Proficient PC skills to include Microsoft Office
• Fluency in Spanish, or languages spoken by the people in thecommunities we serve (where necessary)

Education and Experience:

• H.S. Diploma or equivalent required; degree or college level coursework in healthcare preferred
• 2 years of experience in referral management or care coordination
• Medical Assistant or medical administrative experience is helpful
• Experience with EMR systems, ideally eClinicalWorks or similar