What are the responsibilities and job description for the Care Coordinator position at Integrated Resources, Inc ( IRI )?
Job Title: Member Care Coordinator
Location: Remote Field Visit in Raton, NM
Duration: 6 Month Contract (Possibility of Extension)
Shift Timing: Monday–Friday (Standard Shift)
Job Description:
This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities.
ESSENTIAL FUNCTIONS:
- Responsible for home health assessments and system updates.
- Perform outreach and follow-up attempts to members on their health care plan.
- Build relationships with members to encourage compliance with care plans and to alert the Case Manager quickly when issues arise.
- Conduct check-ins with members to review individual care plan goals.
- Maintain production requirements based on established department business needs.
- Provide support to the clinical team by performing the non-clinical functions (as identified by the business process) necessary to generate, manage, and close a case within the platform.
- Communicate and interact effectively and professionally with co-workers, management, customers, etc.
- Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
JOB REQUIREMENTS:
- Bachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR 3 years care coordination for a state managed or waiver program OR 3 years managed care systems experience.
- Current state driver license, transportation, and applicable insurance.
- Ability and willingness to travel.