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:

• 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.
• 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.
• 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.

Qualifications:

• Registered Nurse with 5+ years of experience in various medical settings, preferably in long term care or home health.
• Experience in Case Management is preferred.
• Strong assessment skills and professional judgment.
• Excellent verbal and written communication skills, with previous telephonic experience advantageous.
• Proficient in MS Office Suite and basic computer skills.
• Completion of AHIP Long Term Care courses within 3 years of employment.
• Remote work experience is a plus

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?

• Generous 401k plan: 100% match of employee's contribution, up to a maximum of 6% salary, vests immediately.
• Lots of paid time off:3 weeks' vacation, 7 sick days, 3 personal days, and 12 paid holidays!
• Competitive benefits include health, dental, vision, disability, life, legal, flexible spending account (FSA) and Health Savings Account (HSA) options.
• 6 weeks fully-paid parental leave
• Tuition reimbursement program to support career goals.
• Corporate giving and matching gifts program.
• Volunteer program: Paid time off to volunteer and company-organized volunteering opportunities.
• A wide variety of personal, professional, and career development programs.
• 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.

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. Equal Employment Opportunity Posters