Care Coordinator OKC Oklahoma City, OK

Care Coordinator OKC

Full Time • Oklahoma City, OK
Role and Responsibilities 

The Care Coordinator (CC) assists with the care coordination of member care of both Utilization and Disease Management/Wellness. Under the direction and supervision of the Care Manager-RN, the Care Coordinator assists members by providing support, education and assistance in the prevention and/or maintenance of their disease and/or health and wellness state; by assisting in supporting member compliance with treatment plans; and by assisting in the collaborative coordination of care to reduce waste and inefficiency.   

Core Functions 

  • Care Coordinator reports to the management staff and is under the direct supervision of the Care Manager-RN. 
  • Provides telephonic follow up with members for Care Management services to include post hospital discharge and chronic condition management.  
  • Complete assigned tasks related to care coordination. 
  • Generate tasks to the assigned Care Manager-RN  
  • As directed and supervised by the Care Manager-RN assist in the attainment of members’ goals by:  
  • working with member, physician, other care providers to meet the member’s individual needs based on protocols and referrals,  
  • calling the identified member to offer a review of the Disease Management program,  
  • supporting the member education goals regarding their specific chronic condition based on the Plan of Care, 
  • informing the member how to access resources 
  • assisting in the arrangement of Provider follow-up appointments and delivery of care, 
  • mailing of approved educational and informational materials, 
  • assisting in the performance of calls to members post discharge from inpatient or other levels of care  
  • supporting the monitoring and evaluation of interventions in the Plan of Care.  
  • All communications will be conducted in a professional manner.  
  • Remains objective in their review and not participate in any way in the delivery of care to the patient  
  • Administers tasks as detailed in the member specific Plan of Care. 
  • Completes clear and concise documentation in Care Management programs. 
  • Participates in weekly Complex Case Review. 
  • Assists with handling incoming and outgoing calls: answering questions regarding the referrals and obtaining information as requested by licensed staff. 
  • Assists with data entry, faxing, filing and other clerical tasks. 
  • Complies with Customer Service expectations as applicable to the Department and Health Plan. 
  • Comply with all departmental policies and procedures. 
  • Participate in departmental and company in-services as appropriate. 
  • Recognizes and adheres to the scope / limitations of job requirements. 
  •  Comply with all departmental policies and procedures.  
  •  Participate in departmental and company in-services as appropriate 
  •  Performs other related duties as assigned. 
Qualifications and Education Requirements 

  • High school graduate. Some college education preferred in the allied health professional field of study. 
  • Healthcare-related experience is preferred. 
  • Strong organizational and time management skills, able to work with little supervision while handling numerous projects at once. 
  • Excellent written/verbal communication skills, especially the ability to communicate telephonically in a professional and effective manner. 
  • Computer literacy in Word, Excel. 

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