Center Care Team - Care Coordinator

ArchWellHealth is a new, innovative healthcare provider devoted to improving the lives of our senior members. We deliver best-in-class care at comfortable, accessible neighborhood clinics where seniors can feel at home and become part of a vibrant, wellness-focused community. Our members experience greater continuity of care, as well as the comfort of knowing they will be treated with respect by people who genuinely care about them, their families, and their communities. 

JobSummary: 

TheCareCoordinator isresponsible for supporting ourmembersastheynavigatethe complexhealthcare delivery system,ensuring every member receives theright care in theright setting. Thisindividualwillserveasa guideforthemember andtheirfamiliesto ensurethe member meets withthe rightspecialists,insideoroutsidethe center,inatimelymanner.Anidealcandidatewill haveadeepunderstanding of the healthcare ecosystem,havestrongattentionto detail,andbe drivenbyapassion for providingqualitycareto seniors. 
 

Duties/Responsibilities: 

• PartnerwithArchWellHealth'smulti-disciplinarycareteamtogainadeepunderstandingof eachmember's careneeds,includingidentifying gapsand barriersto treatment 
• Coordinatereferralstoexternalproviders, vendors, and servicestoensurecare needsaremet 
• Completeproperdocumentationformemberreferralsto ensurerecordsareaccurateandcurrent 
• Build and nurture relationships with members andtheir families to successfully facilitate care coordination 
• Carry outall activities andprovide ongoingmonitoringas outlinedin amember'scare plan toensure routine followup and progressionis made on care plan goals 
• AdheretoHIPAAstandardsandconfidentialityofprotectedhealthinformation(PHI) 
• Promoteclearcommunicationamongcareteamandtreatingclinicianstoensurepositive member outcomes  
• Assist members in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).  
• Be the system navigator and point of contact for members and families, with patients and families having direct access for asking questions and raising concerns.  
• Additionalduties,asassigned 

• Deepunderstandingofthehealthcareecosystem, ideally with experience in benefits and insurance authorization 
• Passionforhelping seniormemberssuccessfullycarryoutcareplans 
• Ability towork effectively with diverse populationsincluding staff, providers, members,family members, insurance carriers, vendors, and the public 
• Basic medical terminology 
• Understanding of Medicare criteria for equipment and supplies 
• Knowledge of CPT and ICD-10 codes 
• Workingknowledgeof specialistsandcommunityresourcestoassistthemember 
• Strongcommunication and rapport-building ability amongan interdisciplinary team 
• Ability to multi-task and manage competing prioritieswith high attention to detail 
• Proficient PC skills to include Microsoft Office 
• Fluency in Spanish, or languages spoken by the people inthecommunitieswe serve (where necessary) 

Education and Experience: 

• H.S. Diploma or equivalent required; degree orcollege levelcoursework inhealthcarepreferred 
• 2 years of experience inreferral management or care coordination 
• Medical Assistant ormedicaladministrative experience is helpful 
• Experience with EMR systems, ideally eClinicalWorks or similar