Care Coordinator

Apply online at http://www.alohacare.org/Careers/Default.aspx The Company: AlohaCare is a local, non-profit health plan serving Hawai`i�s low-income residents with free Medicaid and dual Medicare health insurance coverage. Our members include children, seniors, and adults residing on all islands. We provide comprehensive benefits and managed care services with an emphasis on healthy living habits and preventive primary health care. Our approach is to meet the whole-person health and social needs of members. Through our community partnerships we offer innovative services such as connection to social service agencies, Native Hawaiian healing services and in-home primary care for qualified members. Our mission is to serve in the true spirit of aloha by ensuring and advocating for access to quality health care for all. We are Hawaii�s third-largest health plan and offer a wide network of quality primary care, specialists, hospitals, pharmacies and among many other providers across the state. The Culture: AlohaCare employees have a passion for helping Hawai`i�s most underserved communities. Our caring culture is fundamental to our company-wide team approach to providing high quality services. We support our employees with a supportive and positive work environment, healthy work-life balance, continuous communication, and a generous benefits package. AlohaCare�s leadership empowers and engages its employees by recognizing outstanding job performance and collaboration. We share organization-wide updates during quarterly All Staff meetings. We encourage participation in volunteer and educational opportunities. We put a high value on honesty, respect, and trust-building. We encourage open-door, two-way, and frequent communication. AlohaCare�s comprehensive benefits package includes low-cost medical, dental, drug and vision insurance, paid time-off, 401k employer contribution, referral bonus and pretax transportation and parking program. The Opportunity: The Care Coordinator supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Serves as a liaison alongside care managers and providers to ensure proper coordination of care for members and interacts with members by performing member outreach telephonically or through home-visits. Primary Duties and 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. Communicate with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care. Support performing service assessments/screenings for members with some complex needs and documents the member�s care needs. Support documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed. Work with care management team triaging, adjusting, and escalating complex requests to management. Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards. Ability to identify needs and make referrals to Care Manager, community case organizations, and Disease Manager. Follow up with the members who no longer meet the criteria for additional and intensive behavioral health services fro…