Clinical Care Coordinator

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🕒 June 11

🏖️ New Jersey – Remote

🏖️ New Jersey – Remote

💵 $56.2k - $75.3k / year

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

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NJM Insurance Group

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1913

Insurance

NJM Insurance Group is a well-established insurance provider offering a range of personal and commercial insurance products. Their services include auto, homeowners, renters, condo, commercial auto, and business insurance, with a focus on exceptional customer satisfaction and claims experience. NJM is recognized for its outstanding auto claims experience by J. D. Power and is committed to serving customers in states like Connecticut, Maryland, New Jersey, Ohio, and Pennsylvania. The company prides itself on being straightforward and customer-focused, without jingles or mascots, offering trusted insurance solutions and multiple discount opportunities for various policies.

📋 Description

• Ensure timely appointments and scheduling • Assist with implementation and facilitation of services members • Ensure timely member follow up • Interacts and communicates effectively with the member during telephonic contact • Encourages member participation and compliance in the program • Assist with all calls to members • Coordinates the delivery of high quality, cost-effective care based on the members' needs and the managed long term support and services model supported by clinical practice guidelines established by the plan • Run reports to monitor compliance on scheduled services to ensure timely delivery of services and required follow up • Utilizes care management process for goal directed member care • Documents accurately and comprehensively based on the standards of practice and current organization policies • Provides telephonic assistance for activities specific to the program.

🎯 Requirements

• High School Diploma/GED required • Prefers healthcare industry experience • Requires a minimum of one (1) year experience in home care, discharge planning, or case management • Preferably with the elderly frail population • Prefer a minimum of one (1) year experience in the managed care industry • Requires knowledge of the standards of practice for coordination of services, and delivery of services • Requires strong knowledge of managed care principles and concepts including Health Plan Effectiveness Data and Information Sheet (HEDIS) • Requires strong organizational skills • Requires good PC skills, knowledge of working with a Medical Management system for electronic medical records and the ability to utilize Microsoft Office applications (Excel, Access, Word, etc.) • Requires good problem solving and conflict resolution skills • Requires good presentation skills • Requires ability to work with limited daily supervision.

🏖️ Benefits

• Comprehensive health benefits (Medical/Dental/Vision) • Retirement Plans • Generous PTO • Incentive Plans • Wellness Programs • Paid Volunteer Time Off • Tuition Reimbursement