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Care Management Coordinator

Group Health Cooperative

  • Altoona, Pennsylvania
  • 22 days ago

    Highlights

    Essential Position Functions Perform health screening assessments on our members both by making outbound calls and taking inbound calls; Helps coordinate care and connect members with resources; Work closely with the Case Management team to ensure members are appropriately enrolled into the case management program; Advocate on behalf of the member regarding accessibility of services, assessing and interpreting member needs; Identifies problems and assists with the best possible solution in an accurate and prompt manner; Solves moderately complex problems and/or conducts moderately complex analysis; Communicates in a pleasant, professional, and efficient manner assuring exceptional customer service. With minimal supervision; assists in performing health screenings on members to evaluate a member’s medical and social needs for potential enrollment into the case management program.

    Numbers & Facts

    LocationAltoona, Pennsylvania
    Websitehttps://www.group-health.com/Careers.aspx

    Description

    Position Purpose
    With minimal supervision; assists in performing health screenings on members to evaluate a member’s medical and social needs for potential enrollment into the case management program.  Relates effectively with others for continuity of care; maintains satisfactory relations with others, maintains accurate and complete records.

    Essential Position Functions
    • Perform health screening assessments on our members both by making outbound calls and taking inbound calls;
    • Helps coordinate care and connect members with resources;
    • Work closely with the Case Management team to ensure members are appropriately enrolled into the case management program;
    • Advocate on behalf of the member regarding accessibility of services, assessing and interpreting member needs;
    • Identifies problems and assists with the best possible solution in an accurate and prompt manner;
    • Solves moderately complex problems and/or conducts moderately complex analysis;
    • Communicates in a pleasant, professional, and efficient manner assuring exceptional customer service
    • Prioritizes and organizes own work to meet agreed upon deadlines;
    • Relates effectively with co-workers regarding continuity of care and Care Management of members;
    • Maintains a professional approach with the highest standard of confidentiality;
    • Displays concern and initiative;
    • Cooperates and maintains good rapport with staff, other departments, members, providers, and agencies involved in providing quality care to the member;
    • Maintains the standards of accurate and complete recording and reporting;
    Minimum Requirements of the Position
    • High school graduate or equivalent.
    • One to three years of customer service experience.  Prior experience in the insurance industry preferred.
    • Excellent communication and customer service skills.
    • Ability to learn and adapt;
    • Proficient in the use of Microsoft Office Suite.
    Group Health Cooperative of Eau Claire complies with applicable Federal civil rights laws and does not discriminate, exclude or treat candidates less favorably on the basis of race, color, national origin (including limited English proficiency and primary language), age, disability, or sex (including sex characteristics, including intersex traits; pregnancy or related conditions; sexual orientation; gender identity; and sex stereotypes).

    The Cooperative is committed to fostering a caring and compassionate environment while ensuring that individual differences are valued. The Cooperative is a quality driven cooperative built on collaboration, community involvement, innovation, and belonging. It is essential that all employees and members feel secure and welcome, that the opinions and contributions of all individuals are respected and that all voices are heard.

    This full time position offers an outstanding benefit package, including three weeks of vacation the first year, a generous retirement plan, health and dental insurance, a wellness program, and much more! If you are interested in working for an organization focused on a team atmosphere and is dedicated to providing exceptional service submit your resume today! Send resume to: resumes@group-health.com. Group Health Cooperative of Eau Claire is an affirmative action and equal opportunity employer. 

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