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Job Description:
Job Description
OVERVIEW OF POSITION:
The Care Coordinator I is the entry-level non-licensed role responsible for member support, care navigation, referral coordination, inbound and outbound call management, and system navigation for designated population. This role serves as a primary access point for members and providers, supporting high-volume engagement, non-clinical needs assessment, and timely escalation to Care Managers.
ESSENTIAL DUTIES:
- Conduct outreach activities aligned with contractual, program, and engagement expectations.
- Complete intake screenings and gather information to identify member needs and next steps.
- Utilize motivational interviewing techniques to support member engagement and identify barriers.
- Route referrals accurately to Care Coordination, Care Management, or Member Support teams.
- Coordinate referrals to internal and external medical, behavioral health, and community-based programs.
- Support appointment scheduling, referral follow-up, and member navigation activities.
- Escalate members with clinical, psychosocial, or complex needs appropriately.
- Maintain timely and accurate documentation of outreach, referrals, and member interactions.
- Navigate multiple systems to support outreach, tracking, and reporting needs.
- Participate in meetings, trainings, and community engagement activities.
- Maintains a high level of confidentiality and ensures compliance with HIPAA regulations
- Other duties as assigned
POPULATION SERVED:
• Health First Colorado members requiring outreach and navigation support
• Members requiring intake screening and referral coordination
• Members requiring navigation to healthcare, behavioral health, or community resources
• Members requiring escalation to licensed Care Managers
- Other assigned populations as applicable
EDUCATION:
High School Diploma/GED
EXPERIENCE:
1–3 years of experience in customer service, healthcare, or community services
Preferred experience include:
- Experience supporting outreach or navigation programs
- Knowledge of medical terminology and Social Determinants of Health (SDOH) concepts
- Bilingual capability, where relevant to market needs
KNOWLEDGE, SKILLS, ABILITIES:
- Strong communication, organization, and problem-solving skills
- Proficiency with Microsoft Office and care coordination systems
- Ability to establish and maintain effective working relationships with others
- Ability to handle multiple demands concurrently in a high stress environment; organize, coordinate, set priorities and meet deadlines
- Home office, that is HIPAA compliant for all remote or telecommuting positions as outlined by the company policies and procedures
- Complete outreach and referral activities within required timelines.
- Maintain accurate and timely documentation across all member interactions.
- Meet productivity, outreach, and engagement expectations.
- Escalate higher-risk members appropriately and timely.
- Support departmental workflow and reporting expectations.
- Ability to navigate multiple systems and workflows
- Ability to identify barriers and escalate concerns appropriately
- Basic knowledge of healthcare navigation and SDOH concepts
- Ability to engage diverse populations professionally
Salary Range:
Hourly Pay Range: $21.00-24.00 hourly
Additional Compensation: Eligible for annual bonus based on individual and/or company performance.
Benefits: Includes medical, dental, and vision insurance; 401(k); paid time off (PTO); and Employee Assistance Program (EAP)
Application Deadline: Open until filled. Applications will be reviewed on a rolling basis.
How to Apply: Apply via careers page at https://alpinephysicians.wd1.myworkdayjobs.com/external