You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a Care Coordinator responsible for supporting members as they navigate the complex healthcare delivery system. The role involves ensuring every member receives the right care in the appropriate setting, serving as a guide for members and their families to meet with the right specialists in a timely manner. The ideal candidate understands the healthcare ecosystem, pays strong attention to detail, and is driven by a passion for providing quality care to seniors.
Key Responsibilities
- Partner with the multi-disciplinary care team to understand each member's care needs and identify gaps and barriers to treatment.
- Coordinate referrals to external providers, vendors, and services to meet care needs.
- Complete proper documentation for member referrals to ensure records are accurate and current.
- Build and nurture relationships with members and their families to facilitate care coordination.
- Carry out activities and provide ongoing monitoring as outlined in a member’s care plan.
- Adhere to HIPAA standards and confidentiality of protected health information (PHI).
- Promote clear communication among the care team and treating clinicians.
- Assist members in problem-solving potential issues related to healthcare, financial, or social barriers.
- Be the system navigator and point of contact for members and families.
- Additional duties as assigned.
Qualifications
- Deep understanding of the healthcare ecosystem, ideally with experience in benefits and insurance authorization.
- Passion for helping senior members successfully carry out care plans.
- Ability to work effectively with diverse populations.
- Basic medical terminology knowledge.
- Understanding of Medicare criteria for equipment and supplies.
- Knowledge of CPT and ICD-10 codes.
- Proficient in PC skills, including Microsoft Office.
- Fluency in Spanish or languages spoken by community members, where necessary.
Experience
- 2 years of experience in referral management or care coordination.
- Experience with EMR systems, ideally eClinicalWorks or similar.
- Medical Assistant or medical administrative experience is helpful.
Education
- H.S. Diploma or equivalent required; degree or college-level coursework in healthcare preferred.
Benefits
- Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
- Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
- 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
- Short Term Disability Insurance.
- Term Life Insurance Plan.
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we’re dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
