Job DescriptionIt's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.Job Summary:The Care Management Coordinator provides administrative and clerical support for the Care Management Department. In this role, the individual must be able to plan, organize, and prioritize work to ensure accurate and timely completion. The Care Management Coordinator performs complex administrative functions to support a multidisciplinary team of clinicians, community-based agencies and staff, and members and caregivers. The Care Management Coordinator is a key contact and department representative and must have excellent written and verbal communication skills. This skill is critical in facilitating communication among team members as well as providers regarding referrals, authorizations, scheduling appointments, and obtaining and documenting information. Assessment scheduling, data entry and tracking are other key functions. Perform other duties as requested.Our Investment in You:Full-time remote workCompetitive salariesExcellent benefitsKey Functions/Responsibilities:Generates and/or distributes member documents and filesData entry of confidential member information into multiple databasesGenerates simple reports for care management teamInitiates and follows up on requests for provider informationAssists in scheduling Primary Care Team meetings and exchanging information, facilitating communication among team members as neededAssists in managing and tracking required assessments and informing appropriate care management staffSchedules assessments, home visits, and other appointments as requested by the care management staffData entry of assessments into member records and into State system that is timely and accuratePrepares materials for mailing upon requestAnswers telephone calls for department staff and takes accurate messagesKnows when to escalate issues with staff, supervisors, providers, contracted vendors, etc. for resolutionPerforms general office duties including sorting mail, faxing, filing, photocopying, researching addresses and contact informationPrioritizes tasks and ensures deadlines are metProvides excellent customer service skillsParticipates in group meetings to ensure policies, procedures and workflows are up to date and makes recommendations for process improvementMaintains and assists with filing systems.Assists in special projects and prepares materials, binders, presentations as neededAttends scheduled meetings and required trainingAssists with new staff trainingRegular and reliable attendance is an essential function of this positionMaintains HIPAA standards and confidentiality of protected health informationOther tasks as requestedQualifications: Experience:2 years office/administrative experience particularly in a high volume office with data entry and customer service call centersEducation:Associate's degree in Healthcare or business administration, or a related area or equivalent relevant work experiencePreferred/Desirable: Knowledge of medical terminology a plusKnowledge of care management software systems, claims systems (preferably Facets) for recording and obtaining information a plusExperience with health care databasesHealth plan/health care experienceBilingual skills, fluency in SpanishCompetencies, Skills, and Attributes:Ability to work as part of a teamHighly organized and able to prioritize tasks with ability to meet deadlinesHas excellent data entry skills and knowledge of Microsoft Office, in particular Word and ExcelExcellent communication skills both oral and writtenStrong interpersonal skills and ability to work with consumers as well as professionalsAttention to detailKnowledge of administrative functions and scheduling experienceAble to work in fast-paced environment and take independent initiativeAbout WellSenseWellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees