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Healthfirst

Non-profit insurer offering MLTC, Medicare Advantage.

DSNP Care Coordinator

Clinical Support & Patient AdministrationPosted on Nov 11
Full-timeRemote in USA$42.2k - $66k

About the Job

Requirements

  • A Certified Medical Assistant (CMA), Certified Nursing Assistant (CNA), or Registered Medical Assistant (RMA) credential, or previous relevant medical training or work experience.
  • A high school diploma or GED.
  • Work experience requiring effective verbal and written communication, including good grammar, spelling, and punctuation.
  • Experience working in a fast-paced environment while handling multiple priorities simultaneously.

Responsibilities

  • Receive incoming member calls about benefit questions or issues, care coordination, program inquiries, connections to care managers, and screening assessments to identify risk factors requiring medical intervention.
  • Document calls contemporaneously and accurately in the designated protected health information system.
  • Manage an assigned caseload of members requiring short-term care coordination and health navigation.
  • Work within the interdisciplinary care team to support timely communication of member issues or needs and monitor member screening to improve quality and cost outcomes.
  • Make outreach calls to members to confirm services are in place.
  • Perform additional duties as assigned.

Desired Qualifications

  • An associate’s degree.
  • Prior work experience in a call center, care management, or healthcare environment, or familiarity with medical terminology, Medicaid, and child health plus benefit products.
  • Strong telephone, organizational, and customer service skills.
  • Being organized and detail-oriented and working effectively as part of a team.

About the Company

Healthfirst

Non-profit insurer offering MLTC, Medicare Advantage.

Healthfirst is a nonprofit health insurer in the New York metropolitan area offering a range of health plans, including Managed Long-Term Care (MLTC) for people who need ongoing care, Medicare Advantage with extra benefits, and the Essential Plan for income-qualified individuals. MLTC coordinates in-home and community-based care; Medicare Advantage combines Medicare with additional benefits in a single plan; the Essential Plan provides affordable coverage through a low-cost option, all delivered through a network of healthcare providers funded by premiums and government support. It differentiates itself through its nonprofit status, strong local focus, and partnerships that connect New Yorkers to a coordinated set of public-program-aligned products alongside Medicare Advantage. Its goal is to expand access to affordable, comprehensive health coverage for New Yorkers, especially vulnerable groups, by leveraging its local presence and provider network.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
New York City, New York
Founded
1993

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