DSNP Care Coordinator

We are seeking a DSNP Care Coordinator to become a part of our team! You will play a crucial role in supporting members by navigating healthcare services and resources to improve health outcomes and enhance member experience.

Responsibilities:

• Member Support & Outreach: Proactively engage with members, especially those with complex medical or behavioral health needs, to access healthcare needs, explain benefits, and help navigate the healthcare system.
• Care Coordination: Collaborate with care coordinators, providers, and other healthcare professionals to coordinate medical and social services, including transportation, prescription refills, and follow-up care.
• Education & Guidance: Educate members on preventive care, wellness programs, and self-management of chronic conditions to promote healthy behaviors and improve quality of life.
• Resource Identification: Identify and connect members with community resources, support services, and health plan program (e.g. wellness, disease management) to address social determinants of health.
• Documentation & Reporting: Maintain accurate and timely documentation of health risk assessments, member interactions, care plans, and foll-up activities in the care management system.
• Data Collection & Analysis: Track and report key performance metrics, identifying trends and opportunities to improve care delivery and member satisfaction.
• Compliance: Ensure all activities adhere to health plan policies, HIPPA regulations, and applicable state and federal guidelines.

​Qualifications:

• Excellent communication and interpersonal skills, with a patient-centered approach.
• Strong organizational skills and the ability to manage multiple tasks and prioritize effectively.
• Proficient in EHR and case management systems, along with basic Microsoft Office skills.
• Certification in case management or case management experience preferred.