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Form of workThe Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers and other areas, internal and external to the company. The CC identifies members with Care Gaps/HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care.
Education/Experience:
- High School Diploma or GED required.
- Minimum of 2 years previous work experience, preferably in a health care setting.
- Managed care experience preferred. Medical terminology, ICD, CPT and/or coding experience preferred.
- Strongly prefer medical assistant, home health aide, nursing assistant or other similar health care para-professional training or certification.
- Prior member service or customer service telephone experience desired.
- Prior behavioral health experience a plus.
- Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports.
- Attention to detail and confidentiality with strong organizational skills.
- Proficient PC skills in a Windows based environment including word processing, spreadsheets and database programs
- Willingness to work any shift.
- Availability for in-service training.
