BusinessOperations - Care Coordinator II - J01000

Position Purpose 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. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.

Education and Experience High School diploma or GED. 1–2 years of related experience.

Licensure and Certification Florida: All interactions with members are done telephonically. Arkansas: Position is designated as safety sensitive; requires a driver’s license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring). Must reside in Arkansas or a border city. Travel: 30%.

Responsibilities

Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan, next steps, resources, questions, or concerns related to recommended care, and ongoing education, 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 plan.

Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service.

May support performing service assessments/screenings for members and documenting the member’s care needs.

Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed.

Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards.

Identifies needs and makes referrals to Care Manager, community based organizations, and Disease Manager.

Provides education on benefits and resources available.

Performs other duties as assigned.

Complies with all policies and standards.

Researches systems to locate medical history for new members entering the foster care system, requests records from providers, retrieves and uploads them into shared systems, documenting and reporting to external partners (no member outreach).

Tracks processes for each member assigned, up to 20 per day, using faxes, emails, and calls to providers.

Qualifications

High School Diploma (required).

Minimum of 2 years of health provider office/hospital setting administrative experience, working within multiple systems and converting files.

Experience in medical records management, documentation, and compliance with HIPAA.

Strong organizational skills, attention to detail, accuracy, and ability to follow workflow with multiple moving parts.

Dependable, critical thinking, independent worker, self starter.

Strong documentation and communication skills.

Disqualifiers

No administrative experience.

No access to dependable internet services.

No access to private HIPAA‑compliant workspace.

Only call‑center experience (should have additional administrative background).

Inability to work independently (no member outreach).

Additional Qualities

Medical records experience.

Service minded.

Provides strong customer service and represents health plan well with outreaches.

Meets quality metrics for documentation and calls (at least 20 members per day).

EEO Statement Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

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