Job Information
WellSense Care Management Coordinator, SCO in United States
Care Management Coordinator, SCO
WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their circumstances.
Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294274)
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
The Care Management Coordinator provides administrative and clerical support for the Care Management Department. In this role, the individual must be able to plan, organize, and prioritize work to ensure accurate and timely completion. The Care Management Coordinator performs complex administrative functions to support a multidisciplinary team of clinicians, community-based agencies and staff, and members and caregivers. The Care Management Coordinator is a key contact and department representative and must have excellent written and verbal communication skills. This skill is critical in facilitating communication among team members as well as providers regarding referrals, authorizations, scheduling appointments, and obtaining and documenting information. Assessment scheduling, data entry and tracking are other key functions. Perform other duties as requested.
Our Investment in You:
Full-time remote work
Competitive salaries
Excellent benefits
Key Functions/Responsibilities:
Generates and/or distributes member documents and files
Data entry of confidential member information into multiple databases
Generates simple reports for care management team
Initiates and follows up on requests for provider information
Assists in scheduling Primary Care Team meetings and exchanging information, facilitating communication among team members as needed
Assists in managing and tracking required assessments and informing appropriate care management staff
Schedules assessments, home visits, and other appointments as requested by the care management staff
Data entry of assessments into member records and into State system that is timely and accurate
Prepares materials for mailing upon request
Answers telephone calls for department staff and takes accurate messages
Knows when to escalate issues with staff, supervisors, providers, contracted vendors, etc. for resolution
Performs general office duties including sorting mail, faxing, filing, photocopying, researching addresses and contact information
Prioritizes tasks and ensures deadlines are met
Provides excellent customer service skills
Participates in group meetings to ensure policies, procedures and workflows are up to date and makes recommendations for process improvement
Maintains and assists with filing systems.
Assists in special projects and prepares materials, binders, presentations as needed
Attends scheduled meetings and required training
Assists with new staff training
Regular and reliable attendance is an essential function of this position
Maintains HIPAA standards and confidentiality of protected health information
Other tasks as requested
Qualifications:
Education:
- Associate’s degree in Healthcare or business administration, or a related area or equivalent relevant work experience
Experience:
- 2 years office/administrative experience particularly in a high volume office with data entry and customer service call centers
Preferred/Desirable:
Knowledge of medical terminology a plus
Knowledge of care management software systems, claims systems (preferably Facets) for recording and obtaining information a plus
Experience with health care databases
Health plan/health care experience
Bilingual skills, fluency in Spanish
Competencies, Skills, and Attributes:
Ability to work as part of a team
Highly organized and able to prioritize tasks with ability to meet deadlines
Has excellent data entry skills and knowledge of Microsoft Office, in particular Word and Excel
Excellent communication skills both oral and written
Strong interpersonal skills and ability to work with consumers as well as professionals
Attention to detail
Knowledge of administrative functions and scheduling experience
Able to work in fast-paced environment and take independent initiative
About WellSense
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees
Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294274)
Important info on employment offer scams:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not reach out to individuals via text, we do not ask or require downloads of any applications, or “apps”, and applicant screenings, interviews and job offers are not conducted over text messages or social media platforms. We do not ask individuals to purchase equipment for, or prior to employment. To avoid becoming a victim of an employment offer scam, please followthese tips from the FTC (https://consumer.ftc.gov/consumer-alerts/2023/01/looking-job-scammers-might-be-looking-you?utm_source=govdelivery) .