Serve as the primary member contact and advocate until their care team is established
Leverage internal and external resources to identify accurate, successful contact information for unreachable members
Orient new members to the value of CCA/CareSource as their health plan
Document members’ current healthcare services and new service requests
Ensure members continue to receive current healthcare services through outreach and education
Schedule new members’ initial nurse intake visits
Utilize communication skills to gain agreement from members to participate in the onboarding process
Provide clinical care to members via telehealth technologies
Perform any other job related duties as requested
Requirements
Bachelor's Degree or relevant experience in call center and/or Medicare/Medicaid plan required
Five (5) years of relevant experience required
One (1) year working in outreach or in the community with individuals who have behavioral, medical, social, or interpersonal complexities impacting their lives required
Experience working in a multi-cultural setting required
Experience using motivational interviewing techniques in a professional setting required
Experience identifying unmet healthcare needs and escalating to the appropriate individual preferred
Experience with electronic medical record and care management systems strongly preferred