MICHIGAN | Care Connector - Bright Start - AmeriHealth Caritas
Southfield, MI
About the Job
MICHIGAN | Care Connector - Bright Start
Location: Southfield, MI
Primary Job Function: Medical Management
ID: 37891
Job Brief
Remote role but must reside in the State of Michigan
Your career starts now. We are looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Qualified candidates must reside in the State of Michigan.
Responsibilities:
The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers and other areas, internal and external to the company. The CC identifies members with Care Gaps/HEDIS-related health conditions and assists them in accessing care through Plan benefits and community resources. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase healthcare adherence and reduce barriers to care.
Education/Experience:**
o Minimum of 2 years of previous work experience in a healthcare environment, preferably maternity, pediatrics, and or foster care.
o Prior member service or customer service telephone experience desired, preferably within a managed care organization.
o Medical terminology experience preferred.
o Strongly prefer medical assistant, home health aide, nursing assistant, or other similar health care para-professional training or certification.
o Previous experience working in a metric-driven environment is preferred.
o Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports.
o Attention to detail and confidentiality with strong organizational skills.
o Proficient PC skills in a Windows-based environment, including word processing and MS Office products.
EOE Minorities/Females/Protected Veterans/Disabled
Location: Southfield, MI
Primary Job Function: Medical Management
ID: 37891
Job Brief
Remote role but must reside in the State of Michigan
Your career starts now. We are looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to connect with you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Qualified candidates must reside in the State of Michigan.
Responsibilities:
The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers and other areas, internal and external to the company. The CC identifies members with Care Gaps/HEDIS-related health conditions and assists them in accessing care through Plan benefits and community resources. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase healthcare adherence and reduce barriers to care.
Education/Experience:**
o Minimum of 2 years of previous work experience in a healthcare environment, preferably maternity, pediatrics, and or foster care.
o Prior member service or customer service telephone experience desired, preferably within a managed care organization.
o Medical terminology experience preferred.
o Strongly prefer medical assistant, home health aide, nursing assistant, or other similar health care para-professional training or certification.
o Previous experience working in a metric-driven environment is preferred.
o Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports.
o Attention to detail and confidentiality with strong organizational skills.
o Proficient PC skills in a Windows-based environment, including word processing and MS Office products.
EOE Minorities/Females/Protected Veterans/Disabled
Source : AmeriHealth Caritas