- Provide outbound telephonic engagement calls to new enrollees as well as those who have been unable to contact (UTC), or those who have previously refused to engage in care coordination
- Research to find working phone numbers for enrollees to begin or resume engagement, as well as documenting calls and call attempts
- Make reminder calls prior to the enrollees assessment
- Schedule assessments with multiple Care Coordinators, strong verbal and written communication skills and organizational skills are a must
- Utilize motivational interviewing skills to engage members in conversations about the benefits of care coordination and their health-related needs
- Maintain and monitor the list of UTC and refusal members to ensure timely contact has been made in compliance with contractual requirements and Bluestone best practices
- Collaborate with the Care Coordination Managers and Director to ensure member contact lists are up to date
- Management of work queues related to appointment scheduling, transportation, interpreter requests,and durable medical equipment
- Telephonic contact with members
- Scheduling Care Coordinator visits with members
- Scheduling medical care visits and transportation
- Utilizing and scheduling interpreter services
- Assisting with obtaining needed medical equipment and supplies
- Documentation and form completion
- Participation in care coordination meetings
- Other duties as assigned
- High school diploma or equivalent, graduate or education from an accredited college, university or vocational school
- Two or more years of customer service or sales and marketing experience in a call center, health insurance, physician group practice, or community agency
- Experience with MMIS and/or Electronic Health Record (EHR) preferred
- Must have a valid driver's license
- Proficient computer Google applications skills (with an emphasis on Google spreadsheets)
- Knowledge of and experience in telephonic outreach coordination
- Excellent computer word processing and database experience
- Ability to work independently
- Creative problem solving skills
- Ability to lead others in an effective, positive manner
- Ability to work with diverse populations
- Proven ability to communicate effectively with strong verbal skills
- Excellent interpersonal and customer service skills
- Computer proficiency
- Compatibility with Bluestone's mission, values and operating philosophies
- Ability to read, write, speak, and understand the English language
- Health Insurance
- Dental Insurance
- Vision Materials Insurance
- Company paid Life Insurance
- Company paid Short and Long-term Disability
- Health Savings Account (with employer contribution)
- Flexible Spending Account (FSA)
- Retirement plan with 4% matching contributions
- Eight paid holidays for office closures plus two floating holidays
- Three weeks (15 Days) Paid Time Off (PTO)
- Mileage reimbursement program for field employees
- Company sponsored cell phone, laptop and scrubs
- Regular business hours
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care coordination referral specialist - , MN, United States - Bluestone Physician Services
Description
Bluestone Physician Services' unique, robust model of care goes beyond primary care services. Our model is tailored to patients living with multiple chronic conditions and disabilities.Bluestone recognizes that patients need a customized approach to care that is preventative, proactive and includes all members of the care team.
Medical providers, nurses and social workers collaborate with patients' other healthcare providers and families.Bluestone has locations in Minnesota, Wisconsin, Florida and uses a mobile clinic approach to provide care to patients within Assisted Living, Memory Care, and Group Home Facilities.
In addition to primary care, Bluestone has a highly developed care coordination model for seniors and individuals living with disabilities.
Our registered nurses and licensed social workers facilitate patient, family, and clinical partnerships to more than 5,000 members throughout Minnesota.
At Bluestone, our employees are our most valuable asset. We know our success is only possible through the hard work and dedication of each of our employees.Bluestone has been named to the Star Tribune's Top Workplace list for the 11th year in a row Bluestone also achieved Top Workplace USA from
Position Overview :
The Care Coordinator Referral Specialist is a remote position that will support our Care Coordination department in scheduling health risk assessments with new enrollees, as well as engage enrollees who have been unable to be reached or declined Care Coordination services previously to improve the program's participation.
The Referral Specialist's primary focus is engaging and enrolling members, while promoting Bluestone's Care Coordination programs and providing program education.
This role requires excellent communication, organization of multiple spreadsheets, and strong problem-solving skills.Responsibilities :
Qualifications :
Education/Certification/Experience
Bluestone Benefits: