Care Coordinator

Description

COMPANY OVERVIEW:

Zing Health is a tech-enabled health insurance company making Medicare Advantage the best it can be for those 65-and-over. Zing Health has a community-based approach that recognizes the importance of the social determinants of health in keeping individuals and communities healthy. Zing Health aims to return the physician and the member to the center of the health care equation. Members receive individualized assistance to make their transition to Zing Health as easy as possible. Zing Health offers members the ability to personalize their plans, access to facilities designed to help them better meet their healthcare needs, and a dedicated care team. For more information on Zing Health, visit www.myzinghealth.com.

Summary

The Care Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process to facilitate appropriate healthcare outcomes for member by providing care coordination, support and education for members using care management tools and resources.

Essential Functions

• Evaluation of members using care management tools, information and data to conduct comprehensive evaluations of member’s needs/eligibility and recommends an approach to case resolution and/or meeting member’s needs by evaluating their benefit plan and available internal and external resources.
• Completes Health Risk assessments-both initial and annual for selected members
• Identifies high risk factors and service needs that may impact the member outcomes and determine the care planning components with appropriate referrals to clinical case management or crisis intervention as appropriate.
• Coordinates and implements assigned care plan activities and monitors care plan progress.
• Enhancement of medical appropriateness and quality of care using a holistic approach including but not limited to consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review to achieve optimal outcomes.
• Identifies and escalates quality of care issues through established channels.
• Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Encourage and assist members to actively participate with their provider in healthcare decision making
• Monitor, evaluate, and document care by utilizing case and quality management processes in compliance with regulatory and accreditation requirements and company policies and procedures.
  
  

Requirements

QUALIFICATIONS AND REQUIREMENTS:

• 2-3 years of experience in behavioral health, social service or appreciate related field equivalent to program focus
• Confidence working as independent thinker, using tools to collaborate and connect with teams virtually
• Analytical and problem-solving skills
• Effective communications, organizational, and interpersonal skills
• Ability to work independently
• Effective computer skills including navigating multiple systems
• Proficiency with standard corporate software applications, including Outlook, MS Word, Excel, as well as some proprietary applications
  
  

Preferred Qualifications

• Case Management and discharge planning experienced preferred
• LPN with active, unrestricted licensure preferred
• 3 years working in managed care setting preferred
  
  

Zing Health Offers The Following Benefits

• A competitive salary based on the market
• Medical, Dental, and Vision
• Employer-Paid Life Insurance
• 401(K) match up to 4%
• Paid-Time-Off
• Several supplemental benefits are available, including, but not limited to, Spouse Insurance, Pet Insurance, Critical Illness coverage, ID Protection, etc.