Clinical Services Coordinator
ICONMA, LLC
Our Client, an Health Insurance company, is looking for a Clinical Services Coordinator for their Remote location. Responsibilities:
+ Primary responsibility is to make 25+ outreach calls per day to Medi-Cal members to offer care management services.
+ Each member requires at least three outreach calls and one letter to offer care management services within a week.
+ The person will document each call attempt, send a letter, and document call outcome into the Care Connect system with notes.
+ If the member is unable to reach after three call attempts, then the case will be documented and closed in the care connect system using our processes.
+ If the member is reached, the person will complete a short questionnaire with the member on the phone.
+ Then the member will be offered care management services using a script and sent to a nurse for follow up.
+ The person will be required to organize their case load of members to ensure that each member has been outreached at least three times prior to closing.
+ We are using excel spreadsheet to track calls and outcomes as well as the Care connect system.
+ The person will be asked to check other internal systems for contact (phone numbers) for members on our service.
Requirements:
+ Agile Experience – 2 Years minimum
+ 1 year working in managed care environment / health insurance
+ Excellent Telephonic communication and customer service
+ Ability to use and document in multiple computer systems efficiently
+ Case Management Experience – 3+ years
+ Experience working with Medi-Cal population
+ Working knowledge of community resources
+ High school diploma or equivalent
+ Microsoft Teams, Excel, Care Connect EMR system
Why Should You Apply?
+ Health Benefits
+ Referral Program
+ Excellent growth and advancement opportunities
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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