Member Health Assessor

🔥 12 hours ago

🏈 Ohio – Remote

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💵 $35.9k - $57.3k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

🚫👨‍🎓 No degree required

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Logo of CareSource

CareSource

1001 - 5000 employees

Founded 30+ years

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

📋 Description

• Engage with members to establish effective, professional relationships and conduct health risk assessments • Participate in the Integrated Care Coordination Team as needed • Coordinate logistics supporting care plan goals and interventions to address immediate member concerns • Verify member eligibility, previous enrollment history, demographics and current health status before outreach • Conduct assessments by gathering information from members, families, providers and other stakeholders • Contribute to care plan development and implementation and report assessment outcomes to the Care Coordinator when needed • Assist with health education, wellness materials and coaching • Maintain appropriate documentation within Care Management program protocols and guidelines • Approach interventions by understanding each member’s perspective, unique needs and how CareSource can help • Help members feel informed, empowered and supported by CareSource • Improve processes to simplify members’ experience and streamline assessment and follow-up time • Perform other job duties as requested

🎯 Requirements

• High School Diploma or General Education Diploma (GED), is required • Minimum of two (2) years of experience in either volunteer or paid position working in community settings with at risk populations providing coordination of services is preferred • Proficient with Microsoft Office, including Outlook, Word and Excel • Sensitivity to and experience working within different cultures • Good interpersonal skills • Ability to work independently and within a team environment • Ability to identify problems and opportunities and communicate to management • Developing knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices • Demonstrate compassion, support and collaboration with members and families • Self-motivated and inquisitive • Comfort with asking pertinent questions • Ability to work in a fast-paced environment • Ability to demonstrate and promote ethical conduct • Ability to develop positive relationships with all stakeholders • Awareness of community & state support resources • Organized, detail-oriented and conflict resolution skills • Ability to keep composure and professionalism during times of high emotional stress • Ability to maintain confidentiality and act in the company’s best interest • Proven track record of demonstrating empathy and compassion for individuals • Proven track record for improving processes to make things easier for those you have served • No licensure or certification required

🏖️ Benefits

• Bonus tied to company and individual performance may be available • Substantial and comprehensive total rewards package • Employee total well-being support

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