Health & Wellness Associate

ICONMA, LLC
  • Ann Arbor, MI
  • $17.06–$20.39 Per Hour
  • Instant Apply
4 days ago

Job Description

Our client, a Health Insurance company, is looking for a Health & Wellness Associate for their Ann Arbor, MI location.
 
Responsibilities:
  • Under general supervision is responsible for helping members with any issues related to their Health and Wellness Benefits and enrolls prospective participants in appropriate programs. The ideal candidate will be a trusted go-to health resource for Health and Wellness programs and answer inbound and place outbound calls regarding Health and Wellness programs. 
  • Handles member questions regarding group; health and wellness solutions and requirements; Engage perspective participants in a discussion around program benefits and enrollments for health and wellness services; Assists with coordination of services with providers; Handles referrals from providers/members; Provides navigation/support for member portal interaction; Schedules initial appointments for members; Administer member satisfaction surveys; Assist in the documentation of departmental procedures. 
  • This addendum defines the additional expectations for Care Transitions Liaison role assigned to the Trinity onsite pilot.
  • It supplements the employee’s existing job description and does not replace the core qualifications, clinical scope, performance standards, or organizational policies associated with the employee’s position.
  • The onsite role serves as a care-coordination connection between the hospital and the health plan. The employee will collaborate with the Trinity Care management  team to support a safe, informed discharge and with the Medicare Advantage Care Management team to ensure an appropriate and timely handoff for Transitions of Care outreach after discharge.
  • Report onsite at Trinity Health Ann Arbor Hospital and maintain scheduled coverage from 8:00 a.m. to 5:00 p.m., with reliable availability to hospital and health-plan partners during assigned hours.
  • Build an effective, professional working relationship with the Trinity UMM team, hospital care managers, discharge planners, providers, and other identified partners.
  • Identify eligible Medicare Advantage members who may benefit from added transition support, using agreed-upon pilot workflows and referral criteria.
  • Engage members and caregivers before discharge, explain the onsite support available, and reinforce the next steps in the transition plan.
  • Identify and communicate barriers that could affect a safe discharge or recovery at home, including concerns involving medications, follow-up care, transportation, equipment and supplies, education, social support, nutrition, benefits, or caregiver needs.
  • Coordinate available health-plan resources without duplicating or replacing the hospital’s clinical assessment, discharge planning, ordering responsibilities, or medical decision-making.
  • Document member needs, completed interventions, unresolved concerns, ownership, and follow-up actions accurately and within required systems and timelines.
  • Communicate a clear handoff to the Medicare Advantage Care Management team so the Transitions of Care program can be initiated and outreach can begin with the member.
  • Escalate unresolved clinical, operational, safety, or discharge barriers through established Trinity and Medicare Advantage Care Management workflows.
  • Participate in pilot huddles, case reviews, workflow refinement, and outcome monitoring, and share observations that can improve the member and partner experience.
  • Maintain confidentiality, comply with HIPAA and organizational policies, and conduct all interactions within the employee’s professional scope and assigned role.
  • Primary role focus: Member engagement and introduction to Transition of Care program, benefit and resource navigation, non-clinical barrier identification and coordination of community resources, and continuity of the transition handoff with the senior MA population.
  • Essential Onsite Responsibilities
  • Engage eligible members and caregivers before discharge, describe the onsite pilot, and establish a supportive health-plan connection.  Obtain correct phone numbers for successful engagement after discharge. 
  • Reinforce the member’s understanding of the discharge plan using approved materials and teach-back techniques, while referring clinical questions to the Care Manager or hospital clinical team.
  • Identify non-clinical barriers that may affect recovery, including transportation, food access, caregiver support, social isolation, benefit awareness, equipment access, appointment logistics, and health literacy needs.  Coordinate community resources to meet members non- clinical barriers.
  • Collaborate with the Trinity  team and Care Manager to communicate identified needs and coordinate available health-plan, supplemental benefit, and community resources.
  • Assist with practical transition steps within role scope, such as reinforcing follow-up plans, confirming preferred contact information, and explaining what the member can expect from Medicare Advantage Care Management outreach.
  • Provide a clear, timely handoff to the Medicare Advantage Care Management team so the Transitions of Care program can be initiated with the member.
  • Escalate clinical questions, safety concerns, changes in condition, or needs outside the liaison scope to the Care Manager or appropriate hospital partner.
  • Document member engagement, education provided, identified barriers, referrals, escalations, and follow-up actions accurately and within required systems and timelines.
  • Success Measures
  • Consistent onsite coverage and effective member engagement before discharge.
  • Timely identification and communication of non-clinical barriers.
  • Clear member understanding of next steps and expected Care Management outreach.
  • Complete, actionable handoffs that support timely Transitions of Care initiation.
  • Accurate documentation and appropriate escalation to clinical partners.
 
Requirements:
  • High School Graduate or GED equivalent required.
  • Bachelor's degree in a health care related field is preferred. 
  • Continuous learning, as defined by the Company’s learning philosophy, is required. 
  • Certification or progress toward certification is highly preferred and encouraged. 
  • Two years experience in healthcare delivery system, provider office, or the insurance industry required. 
  • Three to five years work experience in customer service/sales is required. 
  • Computer skills intermediate/advance is required. 
  • 2-3 years work experience inbound/outbound call center is preferred.
  • Motivational interviewing experience is preferred. 
  • Experience with working in the Care Advance platform is preferred.
 
Why Should You Apply?Why Should You Apply?

Numbers & Facts

LocationAnn Arbor, MI
Salary$17.06–$20.39 Per Hour

Skills

  • Calendar Managementunmatched
  • Clinical Assessmentunmatched
  • Communication Skillsunmatched
  • Computer Skillsunmatched
  • Customer Support/Serviceunmatched
  • Discharge Plansunmatched
  • Documentationunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Health Insuranceunmatched
  • Health Planunmatched
  • Healthcareunmatched
  • High School Diplomaunmatched
  • Hospitalunmatched
  • Hospital Administrationunmatched
  • Inbound Call Centersunmatched
  • Insuranceunmatched
  • Medicareunmatched
  • Medicationsunmatched
  • Member Orientationunmatched
  • Needs Assessmentunmatched
  • Nutritionunmatched
  • On Site Supportunmatched
  • Outbound Call Centersunmatched
  • Pharmacovigilanceunmatched
  • Philosophyunmatched
  • Salesunmatched
  • Time Managementunmatched
  • Training/Teachingunmatched

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