Community Programs, Customer Support/Service, Documentation, Health Plan, Medical Office Administration, Needs Assessment, Performance Management, Process Improvement, Registered Nurse (RN), Risk Analysis, Special Needs
Summary:
- Work Mode: 100% Remote
- Duration: 6 months, possible extension or conversion
- SHIFT: Mon - Fri 8am - 5PM (Possible OT)
Responsibilities:
- Provide support to medical, behavioral, and social support staff to determine needs, eligibility, and services for members.
- Conduct screening and risk assessment interventions per program guidelines.
- Identify special needs members through the completion of health screens and other resources.
- Work with community outreach/member advocates to coordinate member care.
- Educate providers and community resources on program components and available support services.
- Educate members with special needs to foster compliance with the program and positively impact outcomes.
- Assist with modification and management of care plans, medical consenter or caregiver, and family, if applicable, as well as the managing physician.
- Ensure efficiency, quality, and compliance with the timeliness of required assessments and documentation.
- Engage in process improvement to enhance overall performance concerns and improve member outcomes.
A
Axelon Services Corporation