
11 - 50 employees
💰 $392k Venture Round on 2017-10
86Borders improves a health plan’s Star Ratings and other quality metrics by uniquely engaging with their most vulnerable members including DSNP, Medicare Advantage, and Medicaid. We combine empathetic care coordination with purpose-built technology and AI informed interventions to address member experience including MLR, HEDIS/HOS, CAHPS, SDOH and other quality metrics.
🔥 0 minutes ago
🗣️🇪🇸 Spanish Required
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11 - 50 employees
💰 $392k Venture Round on 2017-10
86Borders improves a health plan’s Star Ratings and other quality metrics by uniquely engaging with their most vulnerable members including DSNP, Medicare Advantage, and Medicaid. We combine empathetic care coordination with purpose-built technology and AI informed interventions to address member experience including MLR, HEDIS/HOS, CAHPS, SDOH and other quality metrics.
• Conduct outreach to motivate, facilitate, and educate members about the benefits of programs. • Conduct assessments of the member’s status and develop a care plan with the member to address their goals. • Assessments are conducted by telephone and/or text. • Evaluate individual member care needs and communicate medical information to health care professionals. • Manage a caseload of members to ensure expedient contact is made with each member. • Facilitate coordination of care with providers and schedule appointments as needed. • Motivate members to be active and engaged participants in their health and overall well-being. • Identify and help address needs related to Social Determinants of Health. • Coordinate and complete correspondence according to established workflows. • Thoroughly and accurately document actions taken in a care management platform. • Make a high volume of outreaches to members, families, providers, or other recipients as needed to successfully perform the role.
• Active and unrestricted Licensed Practical Nurse (LPN) or Registered Nurse (RN) license • Must be fluent in Spanish and English • 2+ years experience as a care coordinator, case manager, community health worker, pharmacy technician, or social worker • Must be located in Tennessee • Dedicated home office for remote work • 1+ years of remote work experience • Experience working with Medicaid and/or Dual Eligible patients • Strong interpersonal, communication (both verbal and written), and problem-solving skills • Experience working with customers over the phone and by text message. • Experience with Apple computers (i.e., MacBook) • Experience documenting case notes in a care management or electronic health record platform • Experience with motivational interviewing
• Competitive compensation packages • 401(k) with employer matching • Medical, dental, and vision insurance, including a 100% employer-paid option • Paid time off, paid sick time off, and paid holidays • Remote work • Comprehensive training and development • 100% employer-paid short-term disability, long-term disability, and basic life insurance • Health Savings Plan with employer contributions • Employee assistance program (EAP)
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