Serve as the primary member contact and advocate until their care team is established
Contact new members via telephonic outreach and identify their healthcare services
Liaise with internal CCA providers and external healthcare providers
Educate members on health plan offerings and address their questions or concerns
Document members’ current healthcare services and new service requests
Schedule new members’ initial nurse intake visits
Provide clinical care to members via telehealth technologies
Collaborate with internal and external stakeholders for coordinated care
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
Benefits
Health insurance
Bonuses tied to company and individual performance