Remote role Will require face-to-face training at the office twice per year.
Work independently from home.
Written medical/ social documentation.
High speed internet.
Professional Summary
Conduct screening and risk assessment interventions per program guidelines.
Assist with non-medical aspects of the member’s care, including referrals to community resources.
Job Responsibilities
Identify special needs members through the completion of health screens and other resources Work with community outreach/member advocates to coordinate member care Educate providers and community resources on program components and available support services.
Educate members with special needs to foster compliance with program and positively impact outcomes.
Members contact via phone to follow up with requested items and services.
Contacting physicians, DME agencies, and service providers and documenting detailed contact in the electronic member records.
Review of documented forms for errors and request corrections or clarifications from assessing staff.
Members must be contacted within 5 days of the ISP start date and then as directed by the work process.
All turnaround times are short, within 1-5 business days, expectation is to complete within posted tats.
Conduct site visits as appropriate for programs and provide support to other special programs.
Develop and modify care plans in conjunction with members, member’s family and managing physician.
Development of plan specific literature and education materials in conjunction with medical director and corporate oversight.
Education/Experience
Bachelor’s degree in Social Work, Nursing, Health, Behavioral Science or Equivalent Experience.
Experience in a managed care environment preferred. 0-2 years of experience
Seniority level
Associate
Employment type
Full-time
Job function
Other
Industries
Staffing and Recruiting
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