Belong Health is hiring a
Community Services Care Coordinator in Worldwide

Summary

The job is for a Community Services Care Coordinator-Clinical at Belong Health, a company that partners with regional payers to deliver Medicare Advantage and Special Needs Plan products. The role involves providing administrative support to the care team, orienting new members, performing assessments, developing individualized care plans, and coordinating services for members.

Requirements

• Valid New York State driver’s license
• Bachelor’s degree in social / health sciences or business
• 2+ years’ experience in a care coordination, customer service, health care organization, Community Based Organization, or social services environment
• Demonstrated experience in a managed care or HMO setting is strongly preferred

Responsibilities

• Orient new members to the Belong Health DSNP program
• Perform assessments such as health risk assessments and social determinants of health screening
• Provide input in the development of the member’s individualized care plan (ICP)
• Provide on-going support to members related to the coordination of and access to services, supplies, durable medical equipment, medication, and social services etc
• Facilitate and monitor the implementation of the member care plan in accordance with recommendations by the Interdisciplinary Care Team
• Assist the care team with documentation including interdisciplinary care team meetings
• Identify nature of issues, independently responds to and resolves non-clinical issues and complaints and escalates clinical issues to appropriate department and staff
• Works with members, providers, and staff to identify and resolve member service and retention related issues

Preferred Qualifications

• Superior knowledge of healthcare products and services
• Bilingual (Spanish) required