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1 Vacancy
Location:
Calmont Operations BuildingDepartment:
Clinical Support & PreventionShift:
First Shift (United States of America)Standard Weekly Hours:
40Summary:
Provides support for all Service Coordination Department functions which include utilization management service coordination and population health management. This position also provides health education and care coordination services for CCHP members telephonically in home or health facility settings.Additional Information:
Summary:
This position will act as a support staff for our Service Coordination Department functions which include utilization management service coordination and population health management. This position also provides health education and care coordination services for CCHP members telephonically.
Duties:
Our Certified Community Health Worker will provide telephonic support for members of the Cook Childrens Health Plan via incoming phone calls fax or the provider portal. Provides service coordination (e.g. assist with scheduling appointments linking to community resources etc.) to members who have moderate health complexity and communicates with health care providers to promote efficient care delivery. Will work to ensure members receive the physical and behavioral health pharmacy and social support services needed. Will provide Spanish interpretation and translation including medical terminology. Performs outreach activities including health risk assessments and special projects.
Hybrid position: Can work four 10-hour days 7 am-5:30 pm or Mon Friday 8 hour days. Will primarily work from home with 2 days per month in office required.
Required Education Experience & Certification:
High School graduate.
Three (3) years experience in a managed care or medical office/hospital environment.
Bi-lingual (English/Spanish) Required. Expert proficiency in conversational reading writing and translating medical terms as well as diagnoses. Must pass Spanish test prior to hire.
Certified Community Health Worker certification required.
Knowledge Skills & Abilities:
Superior verbal and written communication.
Strong customer service skills strong phone skills.
Familiarity with basic English & Spanish medical terminology and ICD-9 and CPT coding.
Personal computer skills.
Expertise with various software applications/databases (i.e. Microsoft Office).
Highly organized ability to prioritize and demonstrate moderately complex problem-solving skills.
Ability to work autonomously with minimal supervision.
Basic service coordination concepts.
About Us:
Cook Childrens Health Plan
Cook Childrens Health Plan provides vital coverage to nearly 120000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Childrens Health Plan provides health coverage for CHIP CHIP Perinatal STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant Johnson Denton Parker Hood and Wise.
Cook Childrens is an equal opportunity employer. As such Cook Childrens offers equal employment opportunities without regard to race color religion sex age national origin physical or mental disability pregnancy protected veteran status genetic information or any other protected class in accordance with applicable federal laws. These opportunities include terms conditions and privileges of employment including but not limited to hiring job placement training compensation discipline advancement and termination.
Full-Time