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Form of workJob Description
A-Line Staffing is looking for multiple Remote Healthcare consults in the Chicago, IL area!!. I have listed a Detailed Job Description along with Requirements for you to review. Must live in the Chicago Area..If you are interested please contact Brad Zidek at 412.823.2500 or by Email bzidek@alinestaffing.com.
Healthy Opportunities (HOP) Eligibility & Enrollments, Benefits Eligibility Screenings, Cold Calls, Assistance in phone queue
Describe the performance expectations/metrics for this individual and their team:
Productivity Expectations:
Coordinates case management activities for Medicaid Long Term Care/Comprehensive Program enrollees. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Conducts comprehensive evaluation of Members using care management tools and information/data review Coordinates and implements assigned care plan activities and monitors care plan progress
Conducts multidisciplinary review to achieve optimal outcomes
Identifies and escalates quality of care issues through established channels
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs
Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health
Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices
Helps member actively and knowledgeably participate with their provider in healthcare decision-making Monitoring, Evaluation and Documentation of Care: Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.
Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
Effective communication skills, both verbal and written
Bachelor's degree required - No nurses. Social work degree or related field.
