Medical Care Coordinator Maternal Health
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Job Location:
Grand Rapids, MI - USA
Monthly Salary:
Not Disclosed
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Job Summary
Priority Healths Medicaid Care Management Team is seeking a compassionate and dedicated Medical Care Coordinator with a strong passion for supporting individuals during the prenatal and postpartum this virtual role the coordinator will proactively engage with pregnant and postpartum members to assess and support their care needs ensuring timely access to resources and services. Ideal candidates will have experience working with maternal health populations and a commitment to improving outcomes for Medicaid members.
Essential Functions
Telephonically navigate members through our complex systems by working across the health plan and care network to ensure members receive and understand their care options.
Is the members first point of contact into Care Management. Assesses and identifies the needs and evaluates to determine if the member needs complex care management. If the needs are not complex assists the member to meet their health care needs.
Guide members through Priority Health networks internal and external medical resources policies procedures etc.
Acts proactively on members behalf with routine benefits gaps in care and prior authorization processes.
Works directly with members with rising risk or identified with rising risk under supervision of a licensed Care Manager to provide delegated tasks for disease specific education for both adult and pediatric population and reinforcement of the treatment plan.
Identifies barriers and social determinants of health and assists to address or eliminate these barriers.
Manages a caseload of approximately 150-300 members with stable but complex conditions or rising risk related to chronic conditions.
Qualifications
Required Associates Degree Associates Degree with a health care focus or LPN or Social work preferably with 2 years of experience in Maternal Health
Skills/knowledge/abilities typically gained through less than 2 years of related work experience in a clinical office or health insurance setting. Required
5 years of relevant experience Related work in a clinical office or health insurance setting Preferred
3 years of relevant experience Working in an organization of size and complexity comparable to Spectrum Health or managed care organization Required
How Corewell Health cares for you
Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
Optional identity theft protection home and auto insurance pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status
Primary Location
SITE - Priority Health - 1231 E Beltline - Grand RapidsDepartment Name
PH - Care Management - MedicaidEmployment Type
Full timeShift
Day (United States of America)Weekly Scheduled Hours
40Hours of Work
8 a.m to 4:30 p.m.Days Worked
Monday to FridayWeekend Frequency
N/ACURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.
An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
Required Experience:
IC
Key Skills
- EMR Systems
- Employee Relations
- Typing
- Patient Care
- Clerical Experience
- HIPAA
- Computer Skills
- EMT Experience
- Medical Terminology
- Transcription
- Epic
- Phone Etiquette
About Company
Corewell Health is committed to granting equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status
