Care Worker
Note: This position is fully remote. However, candidates will be required to work within the Pacific Time Zone.
Responsibilities:
- Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.
- Troubleshoots when an appropriate provider, type of service, or appropriate level of care cannot be readily found.
- Has current knowledge or researches availability of community resources and services and link members to appropriate services.
- May assist in transitions in care for hospitalized patients and makes appropriate placements, if needed.
- Assumes responsibility for self-development and career progression.
- Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role.
- Assists in the mentoring and training of new Care Workers.
- Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.
- Coordinates and manages distribution of correspondence and materials to enrollees and providers.
- Participates in operational activities, including data collection, tracking, and analysis.
Required Skills:
- Proficient in Microsoft (Word, Excel, Outlook, Excel)
- Public Outreach experience
Required Soft Skills:
- Must have excellent written /verbal skills
- Organized, time management
Nice to Have Soft Skills:
- Independent worker
Required Experience:
- Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management.
- Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources.
- For roles supporting the Chronic Pain Management SBU, understanding of Chronic Pain Management guidelines and workflows is also required.
Education:
- Associate’s (Preferred)
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