BusinessOperations - Care Coordinator II - J01000

Mindlance

Remote-WI, WI(remote)

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JOB DETAILS

SKILLS

Business Plan, Call Centers, Call Volume, Communication Skills, Community Providers, Contract Requirements, Customer Support/Service, Disease, Diversity, Documentation, Documentation Plan, Health Plan, Health Plan Membership, Healthcare Providers, Managed Care, Medical Office, Member Orientation, Metrics, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft Word, Multitasking, Needs Assessment, Organizational Skills, Record Keeping, Regulatory Requirements, Sales, State Laws and Regulations, Support Documentation, Training/Teaching

LOCATION

Remote-WI, WI(remote)

POSTED

30+ days ago

"Position Purpose:
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"

Education/Experience:
Requires a High School diploma or GED
Requires 1 2 years of related experience"

EEO:

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

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Position Purpose: 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.
Story Behind the Need Business Group & Key Projects
Health plan or business unit Team culture Surrounding team & key projects Purpose of this team Reason for the request Motivators for this need Any additional upcoming hiring needs?		MHS Wisconsin Family Team environment we make it fun Making outbound calls to members to complete a Health Needs Assessment. You will also receive inbound calls from members to complete their Health Needs Assessment. State Contract Metric is 35% Screening Rate High energy, Call Center Experience, Self-starter, able to multi task, reliable, communication skills
Typical Day in the Role
Daily schedule & OT expectations Typical task breakdown and rhythm Interaction level with team Work environment description		8-5pm CST with an hour lunch Call Volume and Productivity Call audit metrics monthly Audits on HNAs monthly
Compelling Story & Candidate Value Proposition
What makes this role interesting? Points about team culture Competitive market comparison Unique selling points Value added or experience gained		Focused on engagement of employees; Overall job satisfaction of our employees; Focused on development; (NOTE: ended up creating roles for those who have excelled in the role to be able to keep them on the team)
Candidate Requirements
Education/Certification	Required: High School Diploma or equivalent			Preferred: Bachelor s preferred, not required
Licensure	Required: n/a			Preferred: n/a
Years of experience required Disqualifiers Best vs. average Performance indicators		Must haves: Phone Customer svc experience, General computer knowledge including MS Office Excel, Word and Outlook, 2-3 years managed care or physician s office experience Nice to haves: Exp. directly working HC providers/patients, Scheduling experience Disqualifiers: Minimum call center experience Working with Providers office setting (example: doctor office setting) Performance indicators: Call Volume 35-40 outbound calls per day Audit (Call Audit) 90% or higher HNA Audit score 90% or higher Best vs. average: see below top must-have skills
Top 3 must-have hard skills Level of experience with each Stack-ranked by importance Candidate Review & Selection		1	Phone Customer svc experience
		2	General computer knowledge including MS Office Excel, Word and Outlook
		3	2-3 years managed care or physician s office experience
Candidate Review & Selection
Shortlisting process Second touchpoint for feedback Interview Information Onboard Process and Expectations		Projected HM Candidate Review Date:			1-2 days post shortlisting
		Number and Type of Interviews:			2, potentially 3
		Extra Interview Prep for Candidate:			Video/Camera On
		Required Testing or Assessment (by Vendor):			n/a
Manager Communication Preferences & Next Steps
Background Check Requirements (List DFPS or other specialty checks here)		Regular background checks
Do you have any upcoming PTO?		n/a
Colleagues to cc/delegate		Rachel Bennett (Hiring Manager)

About the Company

Mindlance

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