Case Manager – Member Services Representative

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Wider Circle

11 - 50 employees

🏥 Healthcare

💼 Consulting

📦 Logistics

💰 $38M Series B on 2021-09

Healthcare • Consulting • Logistics

Wider Circle is a neighborhood-based health organization that aims to empower community members to lead happier and healthier lives. By partnering with health plans and physician groups, the company offers engaging and educational programs both in-person and virtually. These programs are designed for members who share similar interests and life experiences, creating a social group with the purpose of improving access to care within a trusted community network. Wider Circle connects residents in a neighborhood to support each other's health and well-being, offering help with tasks such as scheduling doctor’s appointments and accessing food resources, thereby revitalizing the sense of community care. The company collaborates with national and regional Medicare Advantage plans and Managed Care Organizations.

📋 Description

• Conduct intake interviews to determine member needs and provide personalized support • Advocate for members by connecting them with social, medical, and community-based services • Monitor and document member progress and conduct consistent follow-up • Collect, analyze, and summarize treatment results and compile statistics • Prepare accurate and timely reports for Wider Circle leadership • Collaborate with community partners, healthcare providers, and social service organizations • Educate members about available resources and guide them through relevant processes

🎯 Requirements

• 3-5 years of experience working in the insurance industry • Experience in case management, social work, or healthcare advocacy • Excellent customer service skills • Strong written and verbal communication skills • Ability to explain complex policies in a straightforward, easy-to-understand manner • Ability to manage multiple priorities in a fast-paced environment • Conflict resolution skills and people management are required • Ability to build trusting relationships • Ability to collect, analyze, and report on data • Knowledge of community-based services and social programs • Commitment to the values of LOVE, LEARN, GROW and passion for supporting vulnerable populations

🏖️ Benefits

• Performance-based incentive bonuses • Opportunity to grow with the company • Comprehensive health coverage including medical, dental, and vision • 401(k) Plan • Paid Time Off • Employee Assistance Program • Health Care FSA • Dependent Care FSA • Health Savings Account • Voluntary Disability Benefits • Basic Life and AD&D Insurance • Adoption Assistance Program • Training and Development

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