Serve as the primary member contact and advocate until their care team is established
Contact new members via telephonic outreach and identify member's existing healthcare services and new service requests
Ensure that member needs are addressed by liaising with internal and external healthcare providers
Educate the member on health plan offerings and address any 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 for appropriate clinical care and management services
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
Benefits
substantial and comprehensive total rewards package