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CareOregon Inc. Health Care Coordinator in Seattle, Washington

Career Opportunities: Health Care Coordinator (24268) Requisition ID 24268 - Posted 05/14/2024 - CareOregon - Full Time - Permanent - Portland - Multi Location (9) Job Description Print Preview Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin. Job Title Health Care Coordinator Exemption Status Non - Exempt Department Population Health Partnership Manager Title Care Team Supervisor Direct Reports n/a Requisition # 24268 Pay and Benefits Estimated hiring range $51,050 - $61,720 / year, 5% bonus target, full benefits www.careoregon.org/about-us/careers/benefits Posting Notes This is a fully remote position, but you must reside in one of the listed 9 states. Job Summary The Health Care Coordinator (HCC) acts an entry point to CareOregon's Regional Care Teams, as well as provides care coordination. This position provides intake functions, physical and behavioral health plan navigation, and care coordination including assessing member needs, developing individualized care plans, coordinating with providers and with members. A focus of this position is to work in concert with members' physical and behavioral health care providers, outside community partners/agencies and other external and internal partners (e.g., Oregon Health Authority/Ombudsperson, Tri County 911, county case workers, hospital social workers, physical health plan if not CO, dental health plan, NEMT dept, UM dept, Social Determinants Dept, Customer Service, etc.) in assuring timely access to care, maintaining continuity of care and optimizing member well-being. This position requires critical thinking and independent judgment as well comfort working with the organization's most vulnerable members. This specific HCC position will be on our Maternal, Child, Youth Regional Care Team which providers care coordination to complex pediatric members, including youth involved in the child welfare system, as well as complex pregnancy and post-partum members. Having experience in these areas would be valuable although not required. Essential Responsibilities Intake, Triage, and Navigation Serve as the first point of contact within the Care Coordination Team for members or providers who call CareOregon requesting assistance with physical and behavioral health needs, as well as social determinants of health. Receive care coordination referrals from members, providers, community partners, and internal CareOregon departments and teams. Take call transfers from Member and Provider Customer Service when the need is beyond their knowledge and ability. Determine navigation, care coordination and/or resource needs in response to referrals and other calls into the RCT phone lines Determine if member is in crisis and needs urgent attention; help de-escalate high need callers. Based on identified needs, help determine care coordinator assignment and triage appropriate referrals to RCT clinical care coordinators. Assist members in establishing/engaging with providers. Care Coordination Provide telephonic-based physical and behavioral health care coordination to eligible members and families. Maintain a caseload of members with ongoing physical and behavioral health care coordination needs. Assist members and families to access the care and services they need without barriers. Facilitate communication between members, their support systems, other community-based partners, clinical care providers and other CareOregon departments, and ensure care plans are shared, as appropriate. Effectively coordi

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