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FedPoint 
 
 

 
 Are you a compassionate Registered Nurse with a passion for providing exceptional care coordination services? We are seeking a dedicated Care Coordinator to join our dynamic team. In this role, you will have the opportunity to directly impact the lives of our Federal Long-Term Care Insurnace Plan (FLTCIP) enrollees by assessing their needs, developing personalized care plans, and ensuring they receive the maximum benefits from their insurance coverage.Our Care Coordination Department plays a vital role in assessing and approving long term care services, developing personalized care plans, and ensuring our enrollees receive the maximum benefits from their insurance coverage. We advocate for our clients, educate them on plan benefits, and provide responsive support to meet their healthcare needs.Your impact:As a Care Coordinator, you will interact directly with insured individuals, their representatives, and healthcare providers. You will be responsible for evaluating benefit eligibility, coordinating care, educating on insurance processes, and offering necessary referrals. Your role will involve making informed decisions based on policy guidelines, documenting exceptions when necessary, and collaborating closely with our team to ensure timely and accurate resolutions.Key Responsibilities:<ul><li>Clinical Services (50% of time): Gather and assess information to determine benefit eligibility. Develop personalized care plans based on individual needs and document any policy exceptions. Provide timely updates to Team Lead on critical issues.</li><li>Communication (40% of time): Explain insurance plans and benefits, assist enrollees in maximizing their insurance coverage, and respond to inquiries via phone and written communication. Act as an advocate for enrollees to ensure their needs are met effectively.</li><li>Clinical Risk Management (10% of time): Identify and escalate potential legal, fraud, or customer complaint issues. Participate in high-risk reviews to uphold compliance and integrity in all interactions.</li></ul>Qualifications:<ul><li>Registered Nurse with 5+ years of experience in various medical settings, preferably in long term care or home health.</li><li>Experience in Case Management is preferred.</li><li>Strong assessment skills and professional judgment.</li><li>Excellent verbal and written communication skills, with previous telephonic experience advantageous.</li><li>Proficient in MS Office Suite and basic computer skills.</li><li>Completion of AHIP Long Term Care courses within 3 years of employment.</li><li>Remote work experience is a plus</li></ul> Are you ready for an office setting with a purely administrative role? Location: Portsmouth, NH - HYBRID 2 days in office Full-Time Position M-F with core business hours Why Join Us?Our mission is to grow and modernize insurance and benefits programs for federal agencies, military service organizations, insurers, and other select clients and partners by providing customized administrative services, well-designed and secure platforms, and an exceptional experience for customers.At FedPoint, we offer a dynamic work environment where innovation and collaboration are encouraged. You'll have the opportunity to make a significant impact while honing your administrative service skills and advancing your career.In addition to working for a company with great people and an excellent reputation, what’s in it for you? <ul><li>Generous 401k plan: 100% match of employee's contribution, up to a maximum of 6% salary, vests immediately.</li><li>Lots of paid time off:3 weeks’ vacation, 7 sick days, 3 personal days, and 12 paid holidays! </li><li>Competitive benefits include health, dental, vision, disability, life, legal, flexible spending account (FSA) and Health Savings Account (HSA) options.</li><li>6 weeks fully-paid parental leave</li><li>Tuition reimbursement program to support career goals.</li><li>Corporate giving and matching gifts program.</li><li>Volunteer program: Paid time off to volunteer and company-organized volunteering opportunities.</li><li>A wide variety of personal, professional, and career development programs. </li><li>Comprehensive wellness program offering a variety of resources and activities to help support your well-being in the following areas: career, financial, mental, emotional, physical, social and community.</li></ul> All offers of employment with FedPoint are conditional upon satisfactory completion of a pre-employment background check. FedPoint is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability. If you’d like to view a copy of the company’s affirmative action plan, policy statement or have a disability and you believe you need a reasonable accommodation in order to search for a job opening or to submit an online application, please call (603)433-4500. <a href="https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.dol.gov%2Fofccp%2Fregs%2Fcompliance%2Fposters%2Fofccpost.htm&amp;data=05%7C02%7Cjallen%40fedpointusa.com%7Cbdfa2da39292425607ca08dc4f648fce%7C76b7e3e72ebf49a7bb26500f7a43628a%7C0%7C0%7C638472540525302510%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C0%7C%7C%7C&amp;sdata=CU3%2FaCCHIbC8lQ9KL25qGTJIr7dUJuzDh7nRJfTr%2BQM%3D&amp;reserved=0" target="_blank">Equal Employment Opportunity Posters</a> 
 PI243893824

Care Coordinator

Monadnock Family Services Description:Monadnock Family Services (MFS) seeks a Critical Time Intervention (CTI) Transition Coach who will partner with clients and community service providers to identify barriers and enact comprehensive plans with appropriate connections to support stability and safety in the community. Client eligibility consists of a single factor, namely that that individual is ready for discharge from an institutional setting (DHHS may partner with Provider Agencies to identify additional disqualification profiles). Over the 9-month (plus pre-CTI) service lifespan, service touchpoints decrease, with most of the time and effort committed to phase 1, where service linkages are made and primary presenting social determinants of health (SDoH) needs (like housing and entitlements) are addressed. The intervention end at the 9-month mark, culminates in graduation and full transition to the community resources that were strengthened throughout the life of the CTI program.The CTI Transition Coach will be responsible for up to twenty (20) people at a time.This role will be supervised by the CTI Transition Supervisor and is community and office based with remote opportunities as needed. Travel is anticipated at 50%. Requirements:<ul><li>Bachelor's degree</li><li>Needing DHHS approval: Associates Degree or High School Diploma with sufficient (TBD) work experience</li><li>Experience with behavioral health SDoH systems, including case management or delivery of clinical intervention.</li><li>Experience with social determinants of health-related programs, including but not limited to housing, employment, food insecurity, and entitlements.</li><li>Understanding of NH systems of care, with experience working between systems.</li><li>Comfort with technology and reporting systems, with understanding that use of the agency's electronic record is compulsory.</li></ul>We are looking for people to join our team who are seeking: <ul><li>a purpose-driven career </li><li>meaningful work</li><li>work-life-balance</li><li>to be a part of something BIGGER</li></ul>Our benefits* Include: 35 hour workweek, Health and dental insurance, Paid Time Off (starting with 12 days per calendar year), 12 Sick Days per calendar year, 9 Paid Holidays, 3 Personal Floating Holidays, 403b with discretionary employer contributions, Employer Paid Life/AD&amp;D/Long Term Disability Insurance based on FTE, Employee Assistance Program, Tuition Assistance, Student Loan Forgiveness Opportunities*Some exclusions may apply All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, age, marital status, pregnancy, genetic information, or other legally protected status. PI243357954

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