Care reputed company - Remote in Houston, TX
If you are located reputed company a commutable distance of Houston, TX, you will have the flexibility to telecommute* (work from home) as you take on some tough challenges. reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy... benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Care reputed company role will engage and reputed company relationships with our members. This role focuses on proactive, best practices, consultation and improvement of quality care for members and / or their caregivers throughout the healthcare continuum. The primary responsibility for member support includes the initial engagement, coordination with our providers, connecting member with various care teams, educating member on pending/reputed company hospitalizations, supporting member through next site of care as well as a 30-day discharge from a facility. As a Care reputed company, you will act as a resource and reputed company for members and their caregivers to ensure an optimal member experience. This position is also responsible for coordination and communication to members, physicians and other care management teams serving as a liaison with external departments to ensure consistent member care. Includes but not limited to managing outgoing /incoming calls, scheduling provider appointments, providing information on available services, managing referral process and transferring members as appropriate to clinical staff. This position is full-time, Monday - Friday. Employees are required to have flexibility to work any of our shift schedules during our normal business hours of 8:00 am - 5:00 pm CST. Our office is located at 4700 W Sam Houston Pkwy North, Houston, TX 77041. We offer 3 - 4 weeks of reputed company. The hours during training will be 8:00 am - 5:00 pm CST from Monday - Friday. reputed company Telecommuters will be required to adhere to reputed companys Telecommuter Policy. Primary Responsabilities: Establishes a trusting relationship with identified members, caregivers, clinic staff and physicians (may be completed face-to-face or virtual with member) Proactively engages the member to coordinate their care needs Keeps member actively engaged with their primary care physician and assists member with any scheduling medical appointments/transportation; clinical issues or concerns will be directed to a nurse/clinical professional Partners with the members care team (community, providers, internal staff); serving as a liaison between member and/or caregiver and reputed company health services / processes Connects members who need guidance and assistance with any specific barriers to healthcare identified through telephonic reputed company with an appropriate care team to assist in solving the members needs Conduct Social Determinants of Health assessments to identify member needs and connect member with an appropriate care team to assist Plans, prioritizes, organizes and completes work to meet established objectives Review care history documentation (e.g., case notes); includes navigation between computer screens and platforms to research information (e.g., medical, clinical, or benefits information) Serves as primary reputed company of contact for internal and external stakeholders Conducts in-bound and out-bound calls including, but not limited to: member touch-points, clinical staff coordination, member scheduling, and/or surveys/screenings Enters timely and accurate data into the electronic medical record to communicate member needs and ensure complete documentation of member visits and phone calls Periodically may visit members/patients in facility or next site of care, requiring ability to travel reliably to and from location Performs reputed company other reputed company duties as assigned Youll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: High School Diploma / GED Must be 18 years of age OR older 4 years of experience in customer service support and / OR engagement Verbal and written skills Ability to interact productively with individuals and with multidisciplinary teams Organizational and prioritization skills Proficient computer skills, including reputed company Word, reputed company reputed company, reputed company Access, and reputed company Outlook Call Center experience Fast paced environment Ability to reliably travel up to 10% (Domestic) of the time locally where / reputed company necessary Ability to work any shift between the hours of 8:00 AM - 5:00 PM CST from Monday - Friday Preferred Qualifications: Health care experience Bilingual reputed company in English and Spanish Knowledge of medical terminology Basic understanding of Medicare and Medicaid health plans Experience working with Medicare and Medicaid populations Ability to comprehend and retain detailed information Telecommuting Requirements: Reside reputed company a commutable distance of Houston, TX Ability to reputed company reputed company company sensitive documents secure (if applicable) Required to have a dedicated work area established that is separated from other living areas and provides information privacy Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service Physical and Work Environment: Ability to lift up to 10 pounds Ability to sit for extended periods of time Ability to stand for extended periods of time Ability to use fine motor skills to operate office equipment and/or machinery Ability to properly drive and operate a vehicle Ability to receive and comprehend instructions verbally and/or in writing Ability to use logical reasoning for simple and reputed company problem solving At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyoneof every race, gender, sexuality, age, location, and incomedeserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO Apply Job!