Overview
On Site
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Contract - W2
Job Details
Member Care Coordinator | 2+ Years of Experience | Remote/Fieldwork | New Mexico | Contract to Hire
Walker Healthforce is seeking a Member Care Coordinator with 2+ years of experience to support a healthcare client based out of New Mexico. This is a 2 year Contract to Hire opportunity.
START DATE: June 5, 2025
HOURS/SCHEDULE: Monday - Friday; 8:00 AM to 5:00 PM MST (Will be in the field 4-5 days a week)
WORKER TYPE: Full-Time
CORE REQUIREMENTS:
JOB RESPONSIBILITIES:
WHAT WE OFFER:
WHY WORK WITH WALKER?
Contact our Recruiting Team today to experience the Walker Healthforce difference!
ABOUT US:
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.
#IND1
Walker Healthforce is seeking a Member Care Coordinator with 2+ years of experience to support a healthcare client based out of New Mexico. This is a 2 year Contract to Hire opportunity.
START DATE: June 5, 2025
HOURS/SCHEDULE: Monday - Friday; 8:00 AM to 5:00 PM MST (Will be in the field 4-5 days a week)
WORKER TYPE: Full-Time
CORE REQUIREMENTS:
- Candidate is required to meet one of the following criteria to be considered.
- Bachelor of Social Work or Psychology OR
- Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN) with 1 year experience in managed care systems OR
- RN OR 3 years care coordination for a state managed or waiver program OR
- 3 years managed care systems experience
- Ability and willingness to travel with a current state driver license, transportation, and applicable insurance
- Knowledge of medical terminology and direct experience coordinating member medical related needs, providing assistance to members, and analyzing member needs
- PC proficiency including Microsoft Office applications
ADDITIONAL REQUIREMENTS:
- Must be local to the following Counties within New Mexico - Bernalillo County, Valencia County, Sandoval County, Santa Fe County, San Miguel County, Mora County, Taos County, Cibola County, McKinley County, San Juan County and Colfax County
- Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issues
JOB RESPONSIBILITIES:
- Responsible for home health assessments and system updates.
- Perform outreach and follow-up attempts to members on their health care plan.
- Build relationships with members to encourage compliance with care plans and to alert the Case Manager quickly when issues arise.
- Inform and educate members on their program, may use supplied scripts. Complete records in system by performing data entry. Encourage member usage of our programs, including arranging appointments and additional member services (e.g., transportation). Generate appropriate correspondence and send to member manually, electronically, or telephonically.
- Conduct check-ins with members to review individual care plan goals and obtain required or missing information via correspondence or telephone.
- Provide support to the clinical team by performing the non-clinical functions (as identified by the business process) necessary to generate, manage, and close a case within the platform.
- Receive, analyze, conduct research and respond to telephone and/or written inquiries. Process information from member or provider to determine needs/wants and ensure customer questions have been addressed. Respond to customer or send to appropriate internal party.
- May serve as contact for the various groups regarding claims which involves conducting research, obtaining medical records/letters of medical necessity from TMG, reopen or initiate new cases as needed and refer case to clinicians.
- Support and maintain communications with various in-house areas regarding groups’ concerns, i.e.: Marketing, Provider Affairs, and SSD.
- Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
- Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
WHAT WE OFFER:
- Competitive compensation package
- Weekly pay via Direct Deposit
- Medical, Dental & Vision available
- 401k options
WHY WORK WITH WALKER?
- Access to our top ranked team of recruiting and placement specialists
- Continuous, one-on-one support from a dedicated engagement manager
- Professional resume development and interview preparation
Contact our Recruiting Team today to experience the Walker Healthforce difference!
ABOUT US:
Walker Healthforce is known as the dominant force of performance, precision, expertise, and integrity in the healthcare consulting community! As a certified WMBE, we provide end-to-end healthcare IT and clinical solutions to hospitals, health systems, and payer organizations, including Fortune 100 firms nationwide. We are healthcare experts, we’re custom not commodity and we’ve been exceeding expectations for nearly 20 years. Join forces with us to experience unparalleled results today!
We are an Equal Opportunity Employer committed to a culturally diverse workforce. All qualified applicants will receive consideration for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, disability status or protected veteran status.
#IND1
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