Care coordinator Jobs in Wilmington, NC

LOCATION : Remote - the is a home-based, virtual position that operates within the hours of 8 : 30am-5 : 00pm on US Eastern Standard time (EST). The person in this position must live in North Carolina or within 40 miles of the NC border.

GENERAL STATEMENT OF JOB

The Care Coordinator is responsible for providing proactive intervention and telephonic coordination of care to eligible members to ensure that they receive appropriate screening, assessment, services, and care transitions. Responsibilities include administering screenings and assessments, developing care plans to achieve a member's health goals, and managing discharges / transitions between care settings. Care coordinators possess customer service and active listening skills needed to guide individuals of varying backgrounds towards their goals for whole person health.

Care Coordinators perform telephonic outreach and engagement activities for members who are eligible for Tailored Care Management and also provide care coordination for members who qualify for the NC Healthy Opportunities Pilot services.

Note : This position requires access to, and use of confidential healthcare information or protected health information (PHI) as described in laws addressing patient confidentiality, including, but not limited to, the federal HIPAA law, the Confidentiality of Alcohol and Substance Abuse Patient Records law, 42 CFR Part 2, and various state laws. As such, the individual filling this position shall be required to be trained regarding such laws and shall be required to observe those laws in his / her capacity as an employee of Vaya Health. The individual filling this position shall also sign a confidentiality statement as an employee of Vaya Health.

ESSENTIAL JOB FUNCTIONS

Outreach and Engagement :

• Telephonic outreach and engagement for members eligible for plan-based Tailored Care Management (TCM).
• Referring members who opt in to TCM for assignment to a care manager.
• Provide telephonic outreach and administration of Care Needs Screenings to all Vaya Medicaid plan members.
• Provide telephonic outreach and engagement to members eligible for care coordination.
• Conducting the above activities according to applicable rules, regulations, and contract requirements as outlined in Vaya policy and procedure
• Documenting above activities in designated software platforms according to Vaya policy and procedure

Care Coordination and Healthy Opportunities Pilot Care Management :

Other duties as assigned.

KNOWLEDGE, SKILL & ABILITIES

QUALIFICATIONS & EDUCATION REQUIREMENTS

Bachelor's degree in a Human Service-related field (such as Psychology, Social Work, etc.) and two (

Preferred work experience :

PHYSICAL REQUIREMENTS

RESIDENCY REQUIREMENT : This position is required to reside in North Carolina or within 40 miles of the North Carolina border.

SALARY : Depending on qualifications & experience of candidate. This position is non-exempt and is eligible for overtime compensation.

DEADLINE FOR APPLICATION : Open Until Filled

APPLY : Vaya Health accepts online applications in our Career Center, please visit

Vaya Health is an equal opportunity employer.