Care Coordinator III

Care Coordinator III

Requirements

• Must reside within the state of Arizona
• Requires a High School diploma or GED
• Requires 2 – 4 years of related experience
• Ability to identify needs and make referrals to Care Manager, community cased organizations, and Disease Manager

Responsibilities

• Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate
• Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed
• Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plans
• Develops in-depth knowledge of care management services including responding to some complex or escalated issues
• Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care
• Performs service assessments/screening for members with some complex needs and documents the member’s care needs
• Documents and maintains member records in accordance with state and regulatory requirements and distribution to providers as needed
• Works with care management team with triaging, adjusting, and escalating complex requests to management
• Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards
• Provide education on benefits and resources available
• May assist with training and development needs
• Performs other duties as assigned
• Complies with all policies and standards

Preferred Qualifications

No preferred qualifications provided.