Address
Form of workPosition is fully remote, but candidates MUST be local to the 5 boroughs of New York (Bronx, Manhattan, Brooklyn, Staten Island, or Queens).
Candidate must be bilingual in ENGLISH/RUSSIAN or English/ Bengali
Position will be temp to perm based on positive work.
Schedule will be Monday to Friday, 8:30am - 5pm EST.
Candidate MUST have customer service skills as this position will be making outbound calls to members.
No travel is required
POSITION OVERVIEW
Community Connectors works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. Staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
ESSENTIAL POSITION RESPONSIBILITIES
Serves as a community based member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs. Collaborates with and supports the Healthcare Services team by providing non-clinical paraprofessional duties in the field, to include meeting with members in their homes, nursing homes, shelters, or doctor's offices, etc. Empowers members by helping them navigate and maximize their health plan benefits. Assistance may include: scheduling appointments with providers; arranging transportation for healthcare visits; getting prescriptions filled; and following up with members on missed appointments. Assists members in accessing social services such as community-based resources for housing, food, employment, etc. Provides outreach to locate and/or provide support for disconnected members with special needs. Conducts research with available data to locate members the company has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers Participates in ongoing or project-based activities that may require extensive member outreach (telephonically and/or face-to-face). Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
POSITION QUALIFICATIONS
HS Diploma/GED
Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances or Strong call center experience with good work ethic.
Candidate must be bilingual in ENGLISH/RUSSIAN or English/ Bengali
Position will be temp to perm based on positive work.
Schedule will be Monday to Friday, 8:30am - 5pm EST.
Candidate MUST have customer service skills as this position will be making outbound calls to members.
No travel is required
POSITION OVERVIEW
Community Connectors works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. Staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
ESSENTIAL POSITION RESPONSIBILITIES
Serves as a community based member advocate and resource, using knowledge of the community and resources available to engage and assist vulnerable members in managing their healthcare needs. Collaborates with and supports the Healthcare Services team by providing non-clinical paraprofessional duties in the field, to include meeting with members in their homes, nursing homes, shelters, or doctor's offices, etc. Empowers members by helping them navigate and maximize their health plan benefits. Assistance may include: scheduling appointments with providers; arranging transportation for healthcare visits; getting prescriptions filled; and following up with members on missed appointments. Assists members in accessing social services such as community-based resources for housing, food, employment, etc. Provides outreach to locate and/or provide support for disconnected members with special needs. Conducts research with available data to locate members the company has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers Participates in ongoing or project-based activities that may require extensive member outreach (telephonically and/or face-to-face). Guides members to maintain Medicaid eligibility and with other financial resources as appropriate.
POSITION QUALIFICATIONS
HS Diploma/GED
Minimum 1 year experience working with underserved or special needs populations, with varied health, economic and educational circumstances or Strong call center experience with good work ethic.
