Regional Care Coordinator

Posted 1hrs ago

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Job Description

Regional Care Coordinator managing member transportation, trip recovery, and care coordination for MTM. Supporting NEMT services for members in Florida and Mississippi.

Responsibilities:

  • Manage the member’s experience from completed trip intake through transportation completion
  • Monitor trips, provide trip recovery and templating, solve problems, and update customer notes
  • Make outbound calls to members, providers, and facilities to confirm, correct, and verify trip information
  • Provide member education and ensure successful trip outcomes
  • Act as liaison with health plan clients, members, and internal/external partners
  • Provide support to client- or stakeholder-identified populations
  • Confirm and verify transportation, ensure trip accuracy, and mitigate emergency trips during disasters
  • Maintain impacted member lists and follow up to confirm safe, timely appointment transportation
  • Document escalations and action plans in intake systems
  • Process escalated trips promptly to prevent complaints or service failures
  • Report unusual trip circumstances and vendor-operation inefficiencies to leadership
  • Use MTM technology, portals, and applications for NEMT services
  • Ensure compliance with KPIs, contract requirements, policies, procedures, training, and monthly development-session documentation
  • Document internal complaints and grievances, coordinate care coordination services, and set reservations for select facilities and members
  • Perform other duties as assigned

Requirements:

  • High school diploma or G.E.D. equivalent
  • 9 months of experience in a Customer Care Representative role within MTM’s Contact Center or similar equivalent experience in health care case management
  • Proficient computer skills including Microsoft Outlook, Word, and Excel
  • High degree of accuracy, confidentiality, and ability to work in a fast-paced environment
  • Ability to multi-task and utilize customer service and systems
  • Ability to maintain proper customer service etiquette and adherence to MTM procedures
  • Ability to handle situations of an escalated nature using an analytical thought process
  • Strong leadership and team building skills
  • Exceptional communication skills
  • Ability to maintain a high level of confidentiality
  • Ability to identify with customer needs and circumstances
  • Familiarity with and up-to-date knowledge of all programs/protocols and resource guides
  • Ability to prioritize workload
  • Ability to act with a sense of urgency
  • Medical terminology preferred
  • Patient Care experience preferred

Benefits:

  • Health and Life Insurance Plans
  • Dental and Vision Plans
  • 401(k) with a company match
  • Paid Time Off and Holiday Pay
  • Maternity/Paternity Leave
  • Casual Dress Environment
  • Tuition Reimbursement
  • MTM Perks Discount Program
  • Leadership Mentoring Opportunities
  • Comprehensive, people-first benefits program designed to support every stage of your wellness journey