DSNP Care Coordinator

Job Description

Job Description

We are seeking a DSNP Care Coordinator to become a part of our team! You will play a crucial role in supporting members by navigating healthcare services and resources to improve health outcomes and enhance member experience.

Responsibilities:

• Member Support & Outreach: Proactively engage with members, especially those with complex medical or behavioral health needs, to access healthcare needs, explain benefits, and help navigate the healthcare system.
• Care Coordination: Collaborate with care coordinators, providers, and other healthcare professionals to coordinate medical and social services, including transportation, prescription refills, and follow-up care.
• Education & Guidance: Educate members on preventive care, wellness programs, and self-management of chronic conditions to promote healthy behaviors and improve quality of life.
• Resource Identification: Identify and connect members with community resources, support services, and health plan program (e.g. wellness, disease management) to address social determinants of health.
• Documentation & Reporting: Maintain accurate and timely documentation of health risk assessments, member interactions, care plans, and foll-up activities in the care management system.
• Data Collection & Analysis: Track and report key performance metrics, identifying trends and opportunities to improve care delivery and member satisfaction.
• Compliance: Ensure all activities adhere to health plan policies, HIPPA regulations, and applicable state and federal guidelines.

​ Qualifications:

• Excellent communication and interpersonal skills, with a patient-centered approach.
• Strong organizational skills and the ability to manage multiple tasks and prioritize effectively.
• Proficient in EHR and case management systems, along with basic Microsoft Office skills.
• Certification in case management or case management experience preferred.

Associated Care Ventures, Inc. (ACV) is the Birmingham-based parent company of Simpra Advantage, Inc., an Alabama-domiciled insurance company operating both an Institutional Special Needs Plan and a Dual Eligible Special Needs Plan. ACV is also the parent company of Alabama Select Network, LLC, which operates an Integrated Care Network for Alabama Medicaid, to coordinate Medicare and Medicaid services state-wide for eligible individuals receiving long-term services and supports, both living at home and in nursing facilities.

Company Description

Associated Care Ventures, Inc. (ACV) is the Birmingham-based parent company of Simpra Advantage, Inc., an Alabama-domiciled insurance company operating both an Institutional Special Needs Plan and a Dual Eligible Special Needs Plan. ACV is also the parent company of Alabama Select Network, LLC, which operates an Integrated Care Network for Alabama Medicaid, to coordinate Medicare and Medicaid services state-wide for eligible individuals receiving long-term services and supports, both living at home and in nursing facilities.