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Care Coordinator II

Health Net Health Plan of Oregon, Inc.
Riyadh, KSA
Contract
Entry
Field
1 weeks ago
Care CoordinationMember OutreachDocumentationBehavioral HealthDevelopmental DisabilitiesCommunication
Free

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Care CoordinationMember OutreachDocumentation
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Position Purpose

  • Supports care management activities and teams assigned to members to ensure services are delivered and continuity of care/member satisfaction is achieved.

Responsibilities

  • Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan
  • Coordinates care activities based on the care plan/service plan and works with healthcare and community providers
  • Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan
  • Communicates with care managers, practitioners, and others as needed to facilitate member services
  • May support performing service assessments/screenings for members and documenting the member’s care needs
  • Supports documenting and maintaining member records in accordance with state and regulatory requirements
  • Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines
  • Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager
  • Provide education on benefits and resources available
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience

  • Requires a High School diploma or GED
  • Requires 1 – 2 years of related experience

License/Certification

  • For Arkansas Total Care plan Bachelor's degree in social science/health related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients. This position is designated as safety sensi

Preferred Qualifications

  • This is a field based role supporting members with behavioral health and developmental disabilities needs. Candidates should have strong experience working with both Behavioral Health and Developmental Disabilities (BH/DD) populations. Applicants must reside in or be willing to travel throughout one

Pay Range

  • $17.84 $28.02 per hour

Benefits

  • Competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.

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