Care Specialist

🕒 vor 1 Monat

⚔️ Virginia – Remote

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⏰ Vollzeit

🟢 Junior

🟡 Mittelstufe

👻 Geisterscore 21%

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🗣️🇺🇸🇬🇧 Englisch erforderlich

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Equality Health

201 - 500 Mitarbeiter

🏥 Gesundheitswesen

☁️ SaaS

⚕️ Krankenversicherung

💰 Private equity im 2022-01

Healthcare • SaaS • Healthcare Insurance

Equality Health vereinfacht die wertorientierte Versorgung und baut Wege zu besseren Gesundheitsresultaten für Medicaid und traditionell unterversorgte Gemeinschaften. Das Unternehmen integriert datengesteuerte Technologie (CareEmpower®), qualifiziertes Praxis-Coaching und Patientenengagement, um Anbieter, Gesundheitspläne und Mitglieder zu unterstützen. Equality Health konzentriert sich darauf, eine gerechte, wertorientierte Versorgung durch Software, Praxistransformation und Partnerschaften mit Kostenträgern und Anbietern zu ermöglichen, um die individuellen sowie bevölkerungsbezogenen Gesundheitsresultate zu verbessern.

Beschreibung

• Conduct outbound phone calls to members to conduct health assessments, identify care needs, and determine appropriateness for participation in care coordination programs • Assist and support patients with barriers to care, including scheduling appointments and locating and accessing community resources • Work collaboratively with patients, network providers, referral coordinators, office and hospital staff; document all activities • Communicate care coordination services available to patients and caregivers • Screen for physical health and behavioral health needs to refer to appropriate healthcare professionals for effective and timely intervention • Perform activities that provide meaningful data to providers, patients, and their families • Participate in educational programs to maintain current skill and competency levels • Perform miscellaneous job-related duties as assigned • Work closely with Community Health Workers, Chaplains, and other Clinical Operations team members • Maintain ethical behavior, professionalism, sensitivity, and confidentiality

🎯 Anforderungen

• Associate’s degree in Healthcare or a related field of study; or, an equivalent combination of education and/or experience • Minimum two (2) years of experience in a directly related position in the healthcare industry • Proficiency with Microsoft Office applications and web-based technologies • Strong outbound calling experience • Ability to work independently in a productivity-based environment • Tech-savvy: able to navigate multiple systems simultaneously • Comfortable learning proprietary platforms • Basic Excel proficiency (pivot tables, formulas, project-based spreadsheets) • Reliable high-speed internet meeting company specs • Flexible schedule within assigned market hours • Ability to pivot between priorities quickly • Previous experience, knowledge and understanding of coordinating care for members • Familiarity with federal and state laws and requirements related to healthcare and health information protection • One or more of the following certifications: Basic Life Support (BLS), Certified Medical Assistant (CMA), Certified Nursing Assistant (CNA), Emergency Medical Technician (EMT) • Excellent verbal, written and interpersonal communication skills • Demonstrated ability to gain acceptance and compliance from clinical staff to achieve mutually beneficial outcomes • Excellent problem-solving skills, including the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action • Strong organizational and prioritization skills; able to manage multiple activities and work independently with minimal supervision • Bilingual (strongly preferred) • Experience in customer service environments (call center acceptable if adaptable)

🏖️ Vorteile

• Remote work arrangement • Flexible schedule adjustments may be requested periodically to support engagement initiatives or priority campaigns • Equality Health benefits flyer provided for prospective candidates (specific benefits not stated in the posting)

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