Service/Care Coordinator 1 - Houston, United States - Spectraforce Technologies

Description

Title: Service Care Coordinator 1

Duration: 06 Months

Location: Remote in Texas, Central Standard Time zone

Shift: 8:30am-5:00pm CST, no overtime required

Summary: 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.

Job Responsibilities: 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 program and positively impact outcomes.

Conduct site visits as appropriate for programs and provide support to other special programs.

Assist with modification and management of care plans under the direction of a Registered Nurse in conjunction with member, medical consenter or caregiver, Department of Family and Protective Services (DFPS) caseworker and family, if applicable, as well as the managing physician.

Education/Experience: Bachelor's degree in Social Work, Health Services, Behavioral Science, or related field, or equivalent experience. 0-2 years of experience

Day to Day Responsibilities of this Position and Description of Project, including but not limited to:

• These positions work in a Call Center setting where the contractors are on a phone queue
• Day to Day responsibilities - Inbound call center, assist and educate Medicaid members on benefits and Services such as PCP Changes, ID Cards and Coordinate transportation and other services.

Required Skills/Experience:

1.
Medical-Long Term Services and Supports Background, Working with the Aging, Blind and Disabled Population

2.
MCO Medicaid STAR+PLUS insurance knowledge

3.
Call center experience is a must; worker is expected to be on the phones for the shift and will need to follow their schedule timely

Preferred Skills/ Experience:

1.
Background in Managed Care

Education Requirement:
High School Diploma or GED
Education Preferred:
Preferred BA in Social Work or Healthcare Mgmt, LVN, CNA, CMA, RT, Pharmacy Tech

Software Skills Required:
Microsoft 365 applications including Outlook, Excel, Word, etc, Avaya soft phone knowledge