Care Coordinator, RN
HumanaFull Time
Mid-level (3 to 4 years), Senior (5 to 8 years)
Candidates should possess prior experience in case management or a healthcare setting, demonstrating proficiency in motivational interviewing techniques and the ability to multitask effectively in a dynamic environment. Strong telephone skills, including the capacity to navigate conversations and anticipate needs, along with computer technology proficiency and the ability to quickly learn new platforms, are also required. Experience with health IT systems and reports is desirable, and knowledge of community healthcare and social welfare resources is preferred. Furthermore, candidates must demonstrate a positive and respectful attitude, acknowledge patient rights, maintain patient confidentiality, and adhere to HIPAA guidelines.
The Connected Care Assistant will complete scheduled shifts for member calls, chats, and internal referrals into CCP, participate in targeted outreach shifts to engage at-risk members into CCP, utilize autodialer tooling for targeted outreach, manage and triage care plan task queues, coordinate care for members and their families/caregivers as identified by the clinical team, recommend benefits available to members, initiate related cases such as Provider Match and Concierge Referrals, compose letters and mailings, obtain medical releases and records, triage callback tickets, monitor email referrals and communications, monitor and manage portals, attend huddles when requested, attend ongoing training, comply with organizational guidelines and healthcare laws, and perform other duties as assigned.
Healthcare advocacy and specialized care services
Included Health focuses on enhancing the healthcare experience for individuals who often face challenges in accessing quality care. The company provides a variety of services, including primary care, behavioral health, and virtual care, ensuring that members receive timely and appropriate treatment. Their model emphasizes 24/7 on-demand care with a diverse group of providers, allowing for personalized support tailored to complex health needs. Unlike many competitors, Included Health prioritizes underserved populations and partners with employers and consultants to deliver comprehensive healthcare solutions that not only improve health outcomes but also help reduce costs. The ultimate goal of Included Health is to make quality healthcare accessible and understandable for everyone, particularly those who have been overlooked by traditional healthcare systems.