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Form of workJob Description
Who We Are
Renalogic is dedicated to helping our clients manage the human and financial costs of chronic kidney disease. To help us in our mission, we hire people who are humble, hungry, and smart. And it sure helps if you have a sense of humor. We're not perfect, but we're trying to build a company that we are all proud of. Our 96% client retention suggests we're on the right path.
Position Overview
The individual in this role will develop and utilize in-depth knowledge of the ImpactCare program to effectively support member engagement and quality of life. These responsibilities will be achieved through close collaboration with their Coach and other internal stakeholders. This position has two main functions, with a greater emphasis and time dedicated to outreach/enrollment, and less time spent on Health Coaching.
How You'll Contribute
- Engage with existing and potential members to determine eligibility and complete enrollment; foster awareness of our program to help change the course of chronic kidney disease and dialysis risk.
- Perform other various enrollment and disenrollment processes for related members to ensure compliance, which includes obtaining missing information and data to complete the enrollment process.
- Utilize and share approved educational materials in a manner that empowers and educates current and potential members.
- Appropriately document health data which includes identifying potential cost containment opportunities; refer high-risk or changes in status situations to Health Coaches and/or Clinical Care Managers.
- At times, partner cross-functionally with various operational business units while supporting departmental objectives within company and regulatory guidelines.
- Anticipate workflow needs based on established processes, policies, and procedures.
- As needed, communicate your and your members' needs, challenges, and feedback to peers and Coach.
- Work collaboratively with each member, their support system, and health care professionals to appropriately address questions and provide additional information in a manner that supports quality health outcomes and cost-effective utilization.
- In conjunction with designated Clinical Care Manager, create individualized, goal-directed, and member-centered care plans that support each member's ability to improve their health and quality of life.
- Autonomously create individualized, goal-directed, and member-centered health plans for lower risk members.
- Perform a claim review with RN oversight to determine a member's clinical qualification into the program.
- Meet individually assigned metrics, including call volume and enrollment requirements; proactively assess and revise approach as needed or directed using multiple forms of communication (i.e. phone, text, secure online chat).
- Appropriately document all outreach and Health Coaching efforts in a way that promotes departmental transparency and complies with HIPAA.
What You'll Need to Have
- Ability and willingness to travel several times a year and engage in overnight stays to attend corporate gatherings, conferences, and health fairs.
- Ability and willingness to attend remote meetings, which means having your camera on, engaging in discussions, and presenting yourself professionally.
- Must have at least 1 year of outbound call and/or enrollment experience.
- Must have at least 3 years of clinical knowledge
- Must have an active LPN unencumbered license in good standing.
- Ability to work some evenings and/or some weekends to assist our members in various time zones.
- Bilingual in Spanish is highly preferred.
- Ability to use various peripherals (systems and equipment) simultaneously to achieve the position's Tactical Objectives and other related tasks.
- Strong working knowledge of common office software such as MS Office and Teams and ability to utilize them effectively.
- Superb written and oral communication skills, which includes the ability to adapt the approach and verbiage.
- Ability to effectively balance competing deadlines without losing focus on the bigger picture.
- Reliable internet and power with a designated area to conduct work with minimal interruptions.
- Learn, retain, and utilize data and information in a manner that aligns with business goals and regulatory guidelines.
What We Offer
- Market competitive salary.
- Generous time off and paid holidays because we value recharging.
- Exceptional healthcare coverage, with the majority of premium covered by us.
- 401k with generous employer match.
We are proud to be an equal opportunity employer, which means that our employment decisions are inclusive and welcoming, regardless of race, gender, age, color, sexual orientation, gender identity, pregnancy status, religion, national origin, disability, or any other personal, physical, mental, or sensory traits. All individuals who are offered a position must successfully pass a background and reference check prior to their start. All individuals must demonstrate they are legally authorized to work in the United States without sponsorship.
