Member Care Coordinator

Overview

Do you have a passion for helping individuals address medical, behavioral, and/or social needs? Do you have an interest in educating our members on preventive health guidelines and programs?

If so, we would love for you to consider applying for the Member Care Coordinator position. This individual would be responsible for working directly with members on medical, behavioral, or social needs, and updating their care plans accordingly.

Benefits:

• Flexible work environment
• Full time role; offering flexibility and the opportunity to work with an interdisciplinary team.
• Opportunity to educate and interact with members daily.
• Ideal starting salary, based on skills and experience: $50,900 – 63,700 + robust total rewards package.

Responsibilities

• Performs comprehensive whole-person assessments to evaluate member medical, behavioral, psychological and social determinants of health needs.
• Leads proactive member engagement initiatives designed to improve health outcomes, strengthen member relationships and support successful navigation of complex healthcare systems.
• Provides consultative education to members regarding health plan benefits, preventative care opportunities, healthcare options, and available community -based resources to support informed decision-making and self-management.
• Coordinates and oversees integrated clinical and non-clinical interventions to ensure alignment with identified member needs, organizational goals and quality outcomes.
• Evaluates member progress, analyzed barriers to care or engagement and implements appropriate solutions or escalated interventions to improve outcomes and mitigate risk.
• Directs and coordinates referrals to medical, behavioral health and community-based resources while ensuring continuity and effectiveness of referral.

Qualifications

• Bachelor’s degree or Associate’s degree in social service, public health, psychology, or related field.
• 2+ years of experience in customer service, healthcare or social work.
• Experience working with Electronic Medical Records is preferred.
• Healthcare or social work experience is preferred.
• Experience with Motivational Interviewing and Trauma informed care is preferred.
• Knowledge of Medicare and Medicaid benefits.
• Proficiency in speaking Spanish, Hmong, or another foreign language is strongly preferred.
• Valid Driver’s license, verifiable good driving record, and reliable transportation, with the ability to travel, as necessary, to attend off-site meetings on a regular basis.

We offer an excellent benefit and compensation package, opportunity for career advancement and a professional culture built on the foundations of Respect, Responsibility, Resourcefulness and Relationships. Quartz is a federal contractor and supports a safe, drug-free workplace. All employment offers are contingent upon successful completion of a pre-employment criminal background check.

Quartz values and embraces diversity and is proud to be an Equal Employment Opportunity. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, gender identity or expression, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.