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Spartanburg Regional Healthcare System Care Coordinator in Spartanburg, South Carolina

Position Summary

As a care coordinator, you will assist in the management of low to moderate risk members through data collection, program enrollment, and telephonic outreaches. Must meet productivity standards and complete work in a timely manner. Must be flexible and adapt to changes in the work environment; manage competing demands; change the approach or method to best fit the situation; Take responsibility; keep commitments; complete tasks on time. Volunteer readily; take independent actions; ask for and offer help when needed.

Minimum Requirements

Education

  • HS Diploma

Experience

  • Prior experience working with patients in an outpatient setting

License/Registration/Certifications

  • N/A

Preferred Requirements

Preferred Education

  • N/A

Preferred Experience

  • Experience in settings with high call volumes

  • Experience in Microsoft Excel

Preferred License/Registration/Certifications

  • N/A

Core Job Responsibilities

  • Conduct telephonic outreaches for care coordination, coaching, and motivational interviewing to members in need of various routine screenings and/or primary care visits.

  • Independently determine eligibility and enroll new members into various Regional Healthplus programs, in some cases in the healthcare setting.

  • Thoroughly review chart records in order to submit various patient data to requesting parties.

  • Be responsible for incoming calls, emails, and other forms of intake for the Care Transitions program, as well as the assigning of field coaches within that program.

  • Identify opportunities for member intervention in order to promote compliance and improve clinical outcomes.

  • Build and maintain positive working relationships with the patients, providers, care managers, agency representatives, supervisors and office staff to ensure successful care coordination.

  • Must meet productivity standards, daily, weekly and monthly.

  • Professionally resolve member/customer requests and concerns independently.

  • Provide outreach to engage members to assess their readiness to change by using motivational interviewing techniques to help members identify and overcome barriers and then refer to the appropriate source.

  • Proactively collaborate with providers, community resources, and other colleagues to help members achieve the best possible outcomes.

  • Be able to collect, provide, defend data and goals of any CarePlus program.

  • Seek ways to improve and promote quality healthcare.

  • Properly handles member records to ensure compliance with patient health information applicable to the preservation, accuracy, and completeness of communication and/or retention of patient information, meeting all HIPAA regulations and the HITECH Act provisions as required by law.

  • Serves as a back up to other Care Coordinators.

  • Achieves population health improvement and goals.

  • Other duties as assigned

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