Hybrid Care Coordinator, Massachusetts

Job description

Job Summary: The Care Coordinator - Massachusetts is the primary point of contact for a stratified panel of members whose role is to assist enrollees in navigating their health care providing care planning and coordination of services, ensuring timely service delivery and prompting continuity of care through coordinated outreach and engagement with members and providers. This role is responsible for routine enrollee outreach, including community-based visits, telephonic or virtual visits, documenting service activities, and supporting administrative functions that enhance member satisfaction. Seeking candidates residing in Barnstable County and Greater Boston Area (Suffolk County) Essential Functions: - Serve as the first point of contact for enrollees, including assisting enrollees with understanding health plan processes, appeals and grievances and assist with removing barriers to getting needed services - Conducts routine outreach to members and providers to confirm service details, coordinates services with long term services and supports teams, , serves as a health plan subject matter expert and accurately documents care coordination activities. - Provides in-person visits to...