*Location: Must live in the State of Oregon
*Work Schedule: Must have flexibility to work a shift between the hours of 7:00 AM to 7:00 PM Pacific Time, Monday through Friday.
Job Summary:
Provides field or telephonic care coordination outreach activities to support care management program delivery to plan Enrollees to support healthy lifestyle choices & to reduce short- and long-term effects of chronic illnesses.
Responsibilities:
- Conducts general assessments for supervisor/lead interpretation/evaluation and assignment
- Participates in the interdisciplinary case reviews for collaborative assessment and coordination planning to ensure quality care
- Proactively engages in delivery of quality management program activities that are the direct responsibility of the Health Services team
- Assists in the achievement and ongoing maintenance of accreditations for defined programs
- Assists Lead, Supervisor and/or Manager in ensuring achievement of contractual financial obligations, including service delivery in a cost effective and efficient manner and through support of budgetary adherence by reporting accurate and timely work hours and expenses incurred during course of 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.
*This role is remote within the State of Oregon and may require up to 5-10% travel to provider sites within the state depending on business needs.
Qualifications
Required Qualifications/Experience:
- Associate’s degree in health-related field and/or medical assistant training or higher
- Minimum 4 years of experience in care coordination
- Minimum 2 years of recent experience in clinical environment
- Minimum 1 year of telephonic outreach or call center experience
Preferred Qualifications/Experience:
- Public sector experience, e.g. Commercial / Medicare / Medicaid
- Knowledge of medical terminology
- Ability to efficiently work telephonically while completing system inputs
- Bilingual
- Knowledge of customer service principles
- Strong written and verbal communication skills
- Strong computer skills (e.g., care management applications, Internet/Web, Microsoft Office [Word, Excel])
- Strong prioritization and organizational skills
- Ability to receive verbal and written feedback in a professional manner and implement performance and productivity improvements as needed
- Ability to interpret real-time and historical information to inform and assist members concurrently
- Knowledge of regulatory and accreditation standards
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