Think Beyond The Label Jobs

Job Description

Duties and Responsibilities:

• Receive incoming calls from members regarding benefit questions/issues, care coordination, program inquiries, connecting to their care manager, and screening assessments to identify risk factors requiring medical intervention

• Contemporaneously and accurately documents calls in designated PHI system.

• Manages an assigned member caseload who require short term care coordination and health navigation

• Works within the interdisciplinary care team to support timely communication of member issues or needs and monitors screening of members effectively to improve quality and cost outcomes

• Performs outreach calls to members to confirm services are in place

• Additional duties as assigned

Minimum Qualifications:

• Certified Medical Assistant (CMA) or Certified Nursing Assistant (CNA) or Registered Medical Assistant (RMA) or previous relevant medical training or work experience

• HS diploma/GED

• Work experience requiring effective communication verbally and in writing while demonstrating good grammar, spelling, and punctuation skills

• Experience working in a fast-paced environment that requires handling multiple priorities simultaneously

Preferred Qualifications:

• Associates Degree

• Prior work experience in a call center, care management, or healthcare environment or familiarity with medical terminology, Medicaid & Child health plus benefit products.

• Excellent telephone, organizational, and customer service skills

• Team player who is organized and detail-oriented

WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, gender identity, sexual orientation, national origin, age, genetic information, military or veteran status, marital status, mental or physical disability or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.