Care Connector

Location: Raleigh, NC

Primary Job Function: Medical Management

ID**: 27780

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com .

The 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/GED.

• 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.

EOE Minorities/Females/Protected Veterans/Disabled