Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
Work with members to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan
Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks
Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions
Consistently meet monthly encounter metrics to ensure compliance with health plan regulations
Identify and break down barriers ensuring individuals’ continuation with the program
Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups
Coordinate physical care management appointments through collaboration with external and internal providers
Utilize external and internal online platforms to collaborate with team members and carry out daily tasks
Qualification
1+ years of professional experienceBilingual in English and SpanishReliableBecause We Value YouSalaryComprehensive health
Required
1+ years of professional experience, preferably in case management, care coordination, or healthcare call center setting
Bilingual in English and Spanish
Strong understanding of cultural fluency and the ability to build trust with diverse populations
High degree of empathy and ability to remain patient when faced with adversity
Demonstrated ability to work collaboratively in a multidisciplinary care team
Excellent organizational skills and attention to detail
Strong technical skills and comfort learning new systems; experience with tools such as Google Suite, Slack, CRM databases, and basic Excel, Word, email, and video conferencing
Reliable, HIPAA-compliant workspace with a stable internet connection for documentation and team communication
A valid driver’s license and auto liability insurance
