Care Coordination Specialist
hace 2 días
Job Description:
We are seeking a skilled Care Coordination Specialist to join our team at First Health Care of Puerto Rico. In this role, you will play a vital part in supporting individuals in need of services, orientation, and crisis intervention by providing case management and referring clients to the appropriate level of care.
The ideal candidate will have excellent communication skills, be able to work effectively in a fast-paced environment, and possess strong clinical knowledge. You will work closely with our Clinical Manager, Clinical Supervisor, Director, VP of Clinical, and Psychiatrist to determine the best course of action for each client.
Responsibilities:
- Provide phone support to members calling the Call Center to conduct needs assessments, brief interventions, facilitating referrals, and supportive engagement.
- Verify member eligibility before processing and registering phone calls in FHC's platforms.
- Document services authorization and comply with established processes to coordinate services with providers.
- Provide education to clients, their representatives, and dependents about coverage benefits and community resources available.
- Coordinate appointments and notify relevant parties within specified timeframes.
- Comply with guidelines and established criteria for various processes.
- Carry out delegated duties such as outbound calls, faxing materials, mailing/e-mailing documents, follow-up initiative referrals, TTY validation, and follow-up call backs.
Requirements:
- Bachelor's degree in a related field.
- Strong clinical knowledge and experience in mental health case management.
- Excellent communication and interpersonal skills.
- Ability to work effectively in a fast-paced environment.
- Familiarity with clinical structured data acquisition and Triage Logic platform.
Benefits:
- Competitive salary: $55,000 - $65,000 per year, depending on experience.
- Opportunity to work with a dynamic team and contribute to the growth of our organization.
- Professional development opportunities.
- A supportive work environment that fosters collaboration and innovation.
How to Apply:
If you are a motivated and detail-oriented individual with a passion for mental health case management, please submit your application, including your resume and cover letter, to us.
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