Job Description
Position Status Label: Non- Exempt
Labor Category: Customer Support
Remote/Onsite: Remote
Additional Informations:
Job Summary:
Provide telephonic care coordination outreach to support preventative health activities, including social needs, to reduce barriers to accessing care while optimizing health outcomes.
Responsibilities:
Ensures the responsible delivery of comprehensive care coordination services to enrollees.
Conducts general assessments for appropriate referrals to Personal Health Consultants, primary health plans, and other resources.
Provides critical resources to members in real-time while also transitioning members to Personal Health Consultants for ongoing needs.
Values health equity, diversity and inclusion by providing patient-centered care, honoring and respecting each person through connection and thoughtful engagement.
Maintains metrics for telephonic outreach and member engagement.
Participates in team case reviews for collaborative assessment and coordination planning to ensure quality care as needed.
Consults with lead, supervisor, and/or manager to ensure the cost-effective and efficient achievement of contract requirements, including service delivery, by reporting accurate and timely work hours incurred during job position duties.
Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
The above list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time-to-time.
** The selected candidate must reside in the State of Oregon or within a 45-minute commutable distance to Oregon. **
** Work Schedule: Monday through Friday from 8:00 AM to 5:00 PM Pacific.
Required Qualifications/Experience:
A minimum of a High School Diploma OR GED equivalent.
1+ years of experience working in a multicultural community setting.
Knowledge of customer service principles.
Knowledge of medical terminology.
Strong written and verbal communication skills.
Strong field or motivational interviewing skills.
Strong computer skills (e.g., care management applications, Internet, Microsoft Office [Word, Excel]).
Strong prioritization and organizational skills.
Ability to receive verbal and written feedback in a professional manner and implement performance productivity improvements as needed.
Ability to interpret real-time historical information to inform and assist members in real time.
Preferred Qualifications/Experience:
Medical Assistant or an Associate's degree in a health-related field.
Telephonic outreach or call center experience.
2+ years current experience care coordination (field environment).
Knowledge of social needs.
Knowledge of regulatory accreditation standards.
Knowledge of principles, ethics, and precepts of care management service delivery.
Knowledge and familiarity with public sector health coverage systems (e.g., Medicare / Medicaid or Managed Care plans). #J-18808-Ljbffr
Job Tags
Contract work, Work at office, Monday to Friday,