Priority Partners Outreach Coordinator
Hanover, PA - USA
Job Summary
Responsible for responding to prospective member and provider inquiries generated through advertising and marketing initiatives in accordance with departmental policies and procedures. Assesses members health and social risk factors to identify care needs and coordinates appropriate care plans and interventions. Assists members in overcoming barriers to accessing healthcare services by arranging transportation language interpretation and other support resources while engaging non-adherent members in care. Facilitates member enrollment and ensures enrollees are connected with appropriate healthcare services. Manages an assigned member caseload in compliance with COMAR regulations and Johns Hopkins HealthCare (JHHC) policies and procedures. Coordinates referrals to case management social work behavioral health health education and other support services based on identified member needs. Supports members through the redetermination process to help maintain eligibility and continuity of coverage. Consistently meets established standards for productivity quality reporting and administrative responsibilities.
Requirements:
Eucation:
Requires High School diploma or equivalent. Associates degree related to advocacy health care or community relations preferred.
Knowledge:
Requires basic knowledge of social and health issues to effectively determine appropriate educational and service support.
Requires familiarity with the personal experiences of families with low/moderate income.
Requires a working knowledge of local state and federal family support resources.
Familiarity with medical terminology ICD-9/10 and CPT codes beneficial.
Knowledge of DHMH eligibility and redetermination requirements.
Requires experience engaging and working with community stakeholders.
Requires experience as an advocate for groups or persons that are underserved.
Skills:
- Excellent interpersonal verbal and written communication skills with the ability to effectively engage diverse community members internal teams and external stakeholders.
- Strong problem-solving and analytical skills to assess members health and social needs identify appropriate resources and coordinate required services.
- Customer service experience with the ability to provide responsive professional support in a telephonic environment.
- Exceptional organizational skills with the flexibility to manage multiple priorities and drive timely results.
- Compassionate empathetic and culturally sensitive when working with individuals from diverse backgrounds and situations.
- Proficient in data entry and maintaining accurate information within computer systems.
- Ability to establish and maintain collaborative working relationships with internal and external customers.
- Demonstrated ability to work independently exercise sound judgment and make appropriate decisions with minimal supervision.
- Self-motivated results-oriented and proactive with a strong commitment to achieving performance goals.
Salary Range: Minimum 20.52/hour - Maximum 33.88/hour. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility. In cases where the range is displayed as a $0 amount salary discussions will occur during candidate screening calls before any subsequent compensation discussion is held between the candidate and any hiring authority.
The Hospital reserves the right to modify employee schedules as needed.
We are committed to creating a welcoming and inclusive environment where we embrace and celebrate our differences where all employees feel valued contribute to our mission of serving the community and engage in equitable healthcare delivery and workforce practices.
Johns Hopkins Health System and its affiliates are an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion sex sexual orientation gender identity and expression age national origin mental or physical disability genetic information veteran status or any other status protected by federal state or local law.
Johns Hopkins Health System and its affiliates are drug-free workplace employers.
Required Experience:
IC
About Company
Johns Hopkins Medicine is a leading health system and academic institution in the U.S. Find information about doctors, locations, appointments, billing, research, education and more.