Care Coordinator

Job not on LinkedIn

🔥 4 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

👻 Ghost score 11%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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86Borders

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

💰 $392k Venture Round on 2017-10

Healthcare • Healthcare Insurance • Artificial Intelligence

86Borders is a healthcare company focused on improving health plans' Star Ratings and quality metrics through enhanced member engagement. They specifically work with vulnerable members including those on Medicare Advantage and Medicaid, employing empathetic care coordination along with technology and AI-driven interventions. Their services address various quality metrics such as MLR, HEDIS/HOS, and CAHPS, ensuring members are informed and able to utilize their available benefits effectively.

📋 Description

• Provide care coordination for Medicaid, Medicare Advantage, and/or Dual Eligible Special Needs Plan (DSNP) members • Build trusted relationships and create a positive member experience • Help members access appropriate care through health plans, providers, pharmacies, vendors, and community-based organizations • Assess members’ medical and social needs, including Social Determinants of Health • Conduct outreach to motivate, facilitate, and educate members about program benefits • Conduct telephone and/or text assessments and develop care plans with members • Evaluate member care needs and communicate medical information to healthcare professionals • Manage a caseload and ensure timely contact with each member • Coordinate care with providers and schedule appointments as needed • Motivate members to participate actively in their health and overall well-being • Identify and help address Social Determinants of Health needs • Coordinate and complete correspondence according to established workflows • Accurately document actions in a care management platform • Make a high volume of outreaches to members, families, providers, and other recipients • Work effectively with diverse populations and demonstrate cultural knowledge and continued learning • Advocate for, support, and motivate members to manage their health and healthcare • Maintain positive working relationships with members, families, providers, and external partners • Build trust, actively listen, communicate intentionally, collaborate, and problem-solve • Influence others toward positive outcomes

🎯 Requirements

• 2+ years experience as a care coordinator, case manager, community health worker, nurse, pharmacy technician, or social worker • Dedicated home office for remote work • 1+ years of remote work experience • Experience working with Medicaid and/or Dual Eligible patients • Strong interpersonal, communication (both verbal and written), and problem-solving skills • Experience working with customers over the phone and by text message • Experience with Apple computers (i.e., MacBook) preferred • Experience documenting case notes in a care management or electronic health record platform • Experience with motivational interviewing • Bilingual fluency in Spanish preferred • Full-time availability Monday–Friday, 8:30am–4:30pm CST

🏖️ Benefits

• Competitive compensation packages • 401(k) with employer matching • Medical, dental, and vision insurance, including a 100% employer-paid option • Paid time off, paid sick time off, and paid holidays • 100% remote work from your dedicated home office • Comprehensive training and development • 100% employer-paid short-term disability, long-term disability, and basic life insurance • Health Savings Plan with employer contributions • Employee assistance program (EAP)

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