Job Description - Care Coordinator II

Description

The Care Coordinator works under the direct supervision of the Director and coordinates activities with the RN Care Manager/Medical Social Worker and Utilization review teams. The Care Coordinator is responsible for assisting members on the CM/UM teams. Assures appropriate communication occurs with all staff and customers. Handles routine clerical matters, and also assists the teams with entering patient records, and monitoring the Navihealth system remotely, for placement of patients. The Care Coordinator manages work lists and team assignments as well as understanding benefits including Medicaid and Medicare. Performs secretarial functions for assigned leadership, supports organizational scheduling and provides support to departmental activities and projects, the Care Coordinator aids the Care Management and Utilization Review Directors, Managers, Leads, Medical Director, and Caregivers, preserving the confidential nature of items of which he/she has knowledge. Includes phone support, correspondence, presentations, scheduling. Provides administrative support for the departments by preparing, typing, copying, forwarding, and receiving facsimiles, scribes for meetings, preps agendas and meeting materials, arranges meeting rooms and set up. and other duties as assigned.




Responsibilities
  • The Care Coordinator is responsible for data management and reporting including the management of work lists and team assignments, compiling tracking reports and summaries.
  • The Care Coordinator is responsible for referral coordination. Referral coordination remotely using Navihealth for this activity, networks with community agencies to assure appropriate communication/referral, and works as liaison between hospital and community agencies, maintains knowledge of community resources for health related needs, maintains the S Drive for the departments with all information that is needed for the teams daily success in their roles.
  • The Care Coordinator keeps leaders informed of meetings, work in progress, maintains calendars, coordinates meetings, payroll editor, maintains API and staff planning sheets, tracks PTO requests, approvals. Performs monthly and ad hoc reporting.
  • The Care Coordinator supports new hire orientation by having equipment set up and prepared for new hire, reviews Outlook, API, and other items with new hires.
  • The Care Coordinator provides maintains administrator status for both Navihealth and Cyberaccess, assists getting new hires setup in these systems, resetting passwords, and works with the systems support people with any issues with the systems not working correctly.
  • Other duties as assigned

Education
  • H.S. Diploma - Required
  • Healthcare related Degree - Preferred

Work Experience
  • 2 Years - Experience in healthcare, managed care, hospital or clinical setting with experience based on educational background. - Required
  • 2 Years - Experience in health care related field, in lieu of a degree. - Preferred

Licenses and Certifications
  • Upon Hire

Travel Requirements
  • Must be able to travel between various system facilities and off-site locations as needed. - Required



Qualifications

Skills and Abilities

Essential Technical/Motor Skills

  • Hand/eye coordination; speaks clearly; good hearing, ability to use computers, printers and telephone equipment.

Interpersonal Skills

  • Ability to work as member of team and develop trusting relationship quickly.
  • Excellent verbal and written communication skills including sensitivity to other cultures and ethnicities.

Essential Physical Requirements

  • Ability to drive required. Ability to negotiate steps into and within patients' homes.

Essential Mental Abilities

  • Implements and provides ongoing support of members care plan, recognizing alternatives, identifying problems.
  • Problem solving skills and ability to interpret data
  • Follows instructions to patient homes in known and unknown areas of the service area.
  • Concentrates on plans and roles of other team members, understanding all responsibilities and plans and coordinates all interventions.

Essential Sensory Requirements

  • Visual and hearing skills to obtain a driver’s license are required.
  • Ability to communicate with member’s s and families to assess and implement plan of care, communicating in person and on phone.

Exposure to Hazards

  • Weather and road hazards.
  • Exposure to cigarette smoke and other allergens in patients' homes.

Other Skills and Abilities

  • Must have access to transportation, which will allow for timely scheduled home visits.



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