Care Coordinator - Los Angeles, United States - Bright Health
Description
We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all.We believe that all health consumers are entitled to high quality, coordinated healthcare.
We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid.
The role of the Care Coordinator is to promote quality, cost-effective outcomes for a population by facilitating collaboration and coordination across settings, identifying member needs, and advocating to ensure member's receive services and resources required to meet desired health and social outcomes.
The Care Coordinator is responsible for providing patient centered care across the care continuum.ROLE RESPONSIBILITIESCollect relevant clinical data to support the care planning processCare Plan support and intervention to transition members to optimal levels of health and self-management, as directed.
Collaboration across providers and healthcare settings to ensure optimal quality outcomes for an assigned populationProvide transition of care interventions as requiredFacilitate care coordination, self-management planning, discharge planning, and health education as directedFacilitate linkage to appropriate community resources to address social determinants of healthAdjudicate referrals according to defined business rules across all care settingAdheres to the Policies and Procedures set forth by the Quality Management Committee and performs all additional duties as assigned.
EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCEHigh School DiplomaMinimum 2 years of experience in medical management.Capacity to interpret health plan benefit decisions
LICENSURES AND CERTIFICATIONSCertification as a Medical Assistant preferred
PROFESSIONAL COMPETENCIESHigh level of critical thinking and problem-solving skillsStrong work ethic and overall positive attitudeEffective communication skills including verbal and writtenAbility to manage time effectively, understand directions, and work independently in a fast-paced environmentDemonstrated flexibility, organization, and self-motivationHighly adaptable to change
For individuals assigned to a location(s) in California, Bright Health is required by law to include a reasonable estimate of the compensation range for this position.
Additionally, employees are eligible for health benefits; life and disability benefits, a 401(k) savings plan with match; Paid Time Off, and paid holidays.
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
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