Care Management Associate Member Connections
Core
Telephonic outreach and enrollment of eligible Medicaid members to facilitate care coordination and promote effective utilization of healthcare services.
Role type
Care Management Associate (Healthcare Navigator)
Builds
Member enrollment into care management programs and care plan implementation
Domain
Healthcare / Medicaid / Behavioral Health
Required skills
Telephonic communication, Customer service, Documentation, Compliance adherence, Multi-tasking, Problem resolution
Preferred skills
Healthcare field experience, Medical terminology, Microsoft Office (Word, Outlook, Excel), Bilingual (Spanish)
Technologies
Microsoft Word, Outlook, Excel
Responsibilities
Engage members telephonically to enroll them in care management programs, Facilitate case assignment and warm transfers to care managers, Answer telephone calls and research information to solve member problems, Maintain accurate documentation of member calls in electronic records, Adhere to regulatory standards and confidentiality policies
Seniority
Individual Contributor, Entry to Mid-level