REMOTE ROLE BUT MUST BE LOCATED IN NORTH CAROLINA
One of our large Healthcare clients is looking for up to 20 Customer Support Specialists for a large project!
The Health Specialist role is integral to the Care Management department, providing key support to Care Managers in delivering appropriate services to meet members’ needs. A Regional Health Specialist assists Care Managers with their duties, augmenting the team’s workforce capacity and delivering most Tailored Care Management member required contacts. This work may include meeting with members virtually or in person, recording member health updates, suggesting changes to the Care Manager for current care plan efficacy, and assisting the member in finding additional medical or community-based resources, among others. In addition to supporting member outreach/engagement, education, and referral services, Regional Health Specialist must also collaborate effectively with the care team to prevent duplicative efforts and communicate member updates. A more thorough overview of the Regional Health Specialist’s specific duties is provided below.
Description:
-Perform supportive outreach, follow-up, and engagement with members
-Facilitate programs and activities that promote holistic health and improve
members’ health literacy/education (teaching self-management skills, sharing self-help recovery resources, distribute educational materials on chronic conditions, etc.
-Arrange/schedule various member services including appointments, wellness reminders, and non-emergency medical transportation need
-Collaborate with the Care Manager and other personnel of the care team to communicate information regarding the member’s care, including health updates and changes
-Participate in relevant educational case conferences
-Ensure the proper storage and transmission of sensitive health records
-Serve as a source of information/guidance for members to obtain community-based resources and other social support services
-Coordinate and track member referrals as well as arrange referrals where
appropriate, including community bases resources and social support services
-Provides any additional support services to Care Managers in addressing unmet health-related resource needs, such as housing, transportation, nutritional food sites, and other services as needed
-Assists with monthly monitoring of member needs
-Conducts pre and post storm or disaster calls to members
-Completes referrals to providers for recommended level of care services
-Completes referrals to Rehousing program, as needed
-Completes follow-up calls to providers, as needed
-Verifies members’ attendance to services, programs and monitors documented progress as recommended in Member’s Care Plans
-Other duties as assigned
This position requires exceptional interpersonal skills, highly effective communication, and the ability to build trusting relationships. An understanding of personal boundaries, ethics, and member safety as it relates to care management is essential. Knowledge of whole-person health and Tailored Care Management principles is essential.
Knowledge:
Fundamentals of holistic, whole-person care
I/DD and TBI relevant professional development/trainings
Familiarity with the regulatory/compliance landscape of Tailored Care Management
Applicable federal laws including Substance Abuse and HIPAA Privacy laws
Understanding of behavioral health crisis response protocol and safety measures
Navigation of the Medicaid and Medicare programs
Skills and Abilities :
Supports behavioral change through engaging, refocusing, encouraging and planning
Proficiency with virtual/telehealth programs, applications, and EHR
Ability to develop trusting and respectful relationships with members with complex behavioral health needs
Ability to work in a multidisciplinary team and balance priorities
Proficient in Microsoft Office products (e.g., Word, Excel, Outlook, etc.)
Capability to troubleshoot problems in a logical and effective manner
Ability to work positively and effectively with all staff and care team
Aptitude to communicate concisely and clearly in both verbal and written formats.
Meet deadlines for project completion in an orderly and timely manner
Good customer service skills