Job Description
Job Summary The Health Coordinator is responsible for outreach to our members to provide education and coordination to address recommended screenings and services based on their individual health needs.
This role conducts telephonic outreach to identified members in support of quality initiatives and regulatory/contractual requirements. The Health Coordinator provides direct education to members regarding their care gaps, assists in scheduling appropriate appointments via three-way phone calls or directly for in-home visits, and connecting member with appropriate resources.
Duties And Responsibilities - Conduct telephonic outreach to members to support Quality Improvement, regulatory, and contractual requirements.
- Educate the member and their family about preventive health screenings while identifying barriers to care.
- Utilize motivational interviewing, active listening, and health behavior change techniques during telephonic coaching sessions with members.
- Schedule doctor appointments for all household members with care gaps with the Primary Care Physician (PCP) and/or Specialist to access needed preventive care services and close care gaps via a three-way phone call.
- Inform providers about the care gap(s) the member has and why they are seeing the provider.
- Arrange transportation and other resources for members, as needed.
- Document all actions taken regarding contact related to member in the appropriate system.
- Interact with other departments including Member Relations to resolve member issues impacting their ability to engage in care.
- Refer to Care Management and other AbsoluteCare resources as appropriate.
- Complete special assignments and projects in support of organizational priorities to address member engagement and care gaps.
- Perform other duties as assigned.
Minimum Qualifications - High School Diploma or Equivalent required
- 2+ years’ experience in healthcare setting (hospital, managed care organization, outpatient provider, etc.) or as a patient navigator
- 2+ years’ experience in member, provider, and customer service or call center environment
- 1+ years’ experience in quality improvement/HEDIS or health education preferred
- Bilingual (English and Spanish) is a plus but not required
- Excellent communication skills required
- Experience with data entry
- Understanding of medical terminology
- Health education experience is a plus
Working conditions This job operates in a professional office environment in a remote work from home setting. This role routinely uses general office equipment.
Physical Requirements - Ability to communicate clearly and exchange accurate information constantly.
- Ability to remain stationary for long periods of time.
- Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.
- Ability to occasionally move objects up to 20 lbs.
Direct reports None.
Job Tags
Work at office, Remote work,