Advance Health

  • Care Management Program Clinical Membership Engagement Coordinator

    Job Location US-VA-Richmond
    Posted Date 5 months ago(11/24/2017 4:55 PM)
    Job ID
    2017-2148
    # of Openings
    1
  • Overview

    This position is responsible for program support and direct member interaction to help coordinate Readmission Prevention Program/Care Management visits.  Process inbound and outbound calls. Handle all member cancellations, schedule/reschedule requests and reminders for upcoming appointments. This role also involves ongoing analysis of data from a variety of sources to continuously identify, recommend, and help implement operational improvements.  This role involves attention to detail, robust organizational skills, and involves interaction with Clients, the Care Management team, providers, and members.  It also requires proficiency with analytical tools (Outlook, Excel, etc.), strong communication skills and a strong commitment to and affinity for delivering the highest level of customer service.

    Responsibilities

    • Direct interaction with members to help coordinate Readmission Prevention Program/Care Management visits
    • Customer service driven personality
    • Coordinating schedules for our Care Management team members
    • Coordinating needed resources from other departments
    • Supporting clinical meetings and processes
    • Review and interpret data and develop a variety of reports, both operational and client-facing
    • Conduct quality assurance reviews to ensure data integrity. Identify trends in data, etc.
    • Collaborates and works closely with the clinical team to promote effective working relationships and support efforts to maintain data integrity
    • Triaging communications to the appropriate member of the Care Management team

    Qualifications

    • LPN required
    • Excellent computer, phone and customer service skills
    • Ability to work a flexible schedule, including Saturdays
    • Experience working with analytical tools (Excel, etc.)
    • Ability to manage deadlines
    • Strong organizational skills
    • Strong attention to detail
    • Ability to handle confidential information (including PHI) and interact professionally with clients, providers, and members
    • Ability to identify trends or data patterns
    • Exceptional verbal and written communication skills

    *Advance Health is an Equal Opportunity Employer*

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