Job Description:
• Supports care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved.
• Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.
• Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate.
• Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed.
• Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan.
• Communicates with care managers, practitioners, and others as needed to facilitate member services and to ensure continuity of care/service.
• May support performing service assessments/screenings for members and documenting the member’s care needs.
• Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed.
• Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards.
• Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager.
• Provide education on benefits and resources available.
• Performs other duties as assigned. Complies with all policies and standards.
Requirements:
• Requires a High School diploma or GED
• Requires 1 – 2 years of related experience
• Bachelor's degree in social science/health-related field or a high school diploma with at least one (1) year of experience coordinating care for developmentally or intellectually disabled clients or behavioral health clients.
• This position is designated as safety sensitive in Arkansas and requires a driver's license, child and adult maltreatment check (before hire and recurring), and a drug screen (at time of hire and recurring).
• Must reside in AR or border city.
Benefits:
• competitive pay
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• paid time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules