Care Coordinator CTX Austin, TX

Care Coordinator CTX

Full Time • Austin, TX

The Care Coordinator 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. 

ROLES AND RESPONSIBILITIES:

  • 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 material


  • 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.


  • Behavioral health and/or 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 and Excel.






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