Care Management Coordinator
Altoona, PA - USA
Job Summary
With minimal supervision; assists in performing health screenings on members to evaluate a members medical and social needs for potential enrollment into the case management program. Relates effectively with others for continuity of care; maintains satisfactory relations with others maintains accurate and complete records.
Essential Position Functions
- Perform health screening assessments on our members both by making outbound calls and taking inbound calls;
- Helps coordinate care and connect members with resources;
- Work closely with the Case Management team to ensure members are appropriately enrolled into the case management program;
- Advocate on behalf of the member regarding accessibility of services assessing and interpreting member needs;
- Identifies problems and assists with the best possible solution in an accurate and prompt manner;
- Solves moderately complex problems and/or conducts moderately complex analysis;
- Communicates in a pleasant professional and efficient manner assuring exceptional customer service
- Prioritizes and organizes own work to meet agreed upon deadlines;
- Relates effectively with co-workers regarding continuity of care and Care Management of members;
- Maintains a professional approach with the highest standard of confidentiality;
- Displays concern and initiative;
- Cooperates and maintains good rapport with staff other departments members providers and agencies involved in providing quality care to the member;
- Maintains the standards of accurate and complete recording and reporting;
- High school graduate or equivalent.
- One to three years of customer service experience. Prior experience in the insurance industry preferred.
- Excellent communication and customer service skills.
- Ability to learn and adapt;
- Proficient in the use of Microsoft Office Suite.
The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration community involvement innovation and belonging. It is essential that all employees and members feel secure and welcome that the opinions and contributions of all individuals are respected and that all voices are heard.
This full time position offers an outstanding benefit package including three weeks of vacation the first year a generous retirement plan health and dental insurance a wellness program and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer.
Required Experience:
IC
About Company
Group Health Cooperative is a community-based non-profit health plan that delivers high-quality, personalized service to its members. The Cooperative started as a local coalition more than 40 years ago. While it is still a local plan with a local focus, it is now a nationally recogniz ... View more