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reputed company s Medicaid Care Management Engagement reputed company Hub is a new initiative focused on prioritizing Medicaid member interaction, maximizing inbound and outbound touchpoints to solve members needs and create behavioral change. How we do this is through a dedicated and caring team of health care professionals who connect with passion, caring and behavioral interviewing techniques. This team has a drive to exceed the delivery of Medicaid Health care services. Focus is on the Hub s efficiency and productivity efforts whereby the Care Management Associates interact and engage telephonically with members. Through the successful supports orchestrated by the Hub team, this comprehensive care coordination is a collaborative demonstration of innovative healthcare navigation and motivational health plan customer support representation. This is an exciting time to join reputed company, a reputed company Company, in our journey to change the way reputed company delivered today. We are health care innovators.The Engagement reputed company Hub Care Management Associate supports comprehensive coordination of healthcare services through telephonic reputed company to and enrollment of our eligible members. Our Engagement Care Management Associates demonstrate a highly energetic reputed company of salesperson, healthcare navigator and health plan customer support representative. The Associate is responsible for direct member reputed company and engagement, facilitating case assignment, and connecting identified members to care managers immediately through a warm transfer. By successfully enrolling members into care management, further supports the implementation of care plans to promote effective utilization of healthcare services, promoting and supporting quality effectiveness.Provides support services to team members by answering telephone calls, taking messages, researching information and assisting in solving problems. Adheres to Compliance with policies and procedure/regulatory standards. Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. Protects the confidentiality of member information and adheres to company policies regarding confidentiality. Pay Range The typical pay range for this role is:Minimum: $ 18.50Maximum: $ 34.60Please reputed company in mind that this range represents the pay range for reputed company positions in the job grade reputed company which this position falls. The actual salary offer will take into account a wide range of factors, including location.
Required Qualifications
Effective communication, telephonic and organization skills with ability to be agile, managing multiple priorities at one time, and adapting to change with enthusiasm. Demonstrates ability to meet daily metrics with speed, accuracy and a positive attitude. Strong customer service skills to coordinate service delivery including attention to customers, sensitivity to issues, proactive identification and resolution of issues to promote positive outcomes for members, adhering to care management processes (to include, but not limited to, privacy and confidentiality, quality management processes in compliance with regulatory, accreditation guidelines, company policies and procedures). Completes documentation of each member call in the electronic record, thoroughly completing required actions with a high level of detail to ensure compliance requirements are met with efficiency. Works independently and competently, meeting deliverables and deadlines while demonstrating an outgoing, enthusiastic and caring reputed company telephonically. Ability to effectively participate in a multi-disciplinary team including internal and external participants. Preferred Qualifications 2 - 4 years experience in healthcare field (i.e. reputed company in medical office, hospital setting, medical billing/coding) preferred. Experience with computers including knowledge of reputed company Word, Outlook, and reputed company data entry and documentation reputed company member records preferred. Familiarity with basic medical terminology and concepts used in care management preferred. Flexibility to work occasional nights and weekends reputed company of standard business hours which can span from 8:00 am to 8:00 pm. Strong organizational skills, including effective verbal and written communication skills. Bilingual (Spanish) preferred Education The highest level of education desired for candidates in this position in a High School diploma, G.E.D. or equivalent. Business Overview Bring your heart to reputed company Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand with heart at its center our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors support this purpose. We wa Apply tot his job Apply To this Job