- Supporting initial enrollment of health plan members onto Mae platform
- Conducting needs assessments and screeners which includes psycho-social, physical, medical, behavioral, environmental, and financial parameters
- Utilizes influencing / motivational skills to ensure maximum member engagement
- Helps member actively participate with their provider in healthcare decision-making
- Acts as an advocate for member's physical, behavioral and social structural care needs by identifying and addressing gaps
- Managing care plans and referrals with payer care management teams and serve as point of contact to ensure services are rendered appropriately
- Manage communication and relationship (phone, e-mail, presentations) with member
- Promote appropriate use of clinical and social structural benefits among members
- Identifies and escalates quality of care issues through established channels
- Facilitates a team approach and educates team on member-focused approach to care
- Identifies high-risk factors and service needs that may impact member outcomes and care plan components
- Supports the internal team in elevating and addressing member issues or concerns if they arise
- Highly organized, able to manage time effectively, and comfortable with working across multiple workstreams concurrently
- Comfort managing outreach and follow-up for members across multiple plans and states
- 3-5 years experience in social work, nursing, or healthcare-related field
- Knowledge of referral coordination to community and private/public resources
- Relationship management experience
- Strong written and verbal communication and presentation skills
- Experience or training as a doula/birth worker is a plus
- Competitive salary
- Healthcare benefits reimbursement with 100% premium coverage
- 401k with employer match
- Flexible work location
- Opportunity to be an early team member of a digital health start-up focused on health equity and addressing a population health need of critical importance
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Care Coordinator/Outreach Specialist, Payer Programs - New York, United States - Mae Health, Inc
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Description
Company DescriptionMEET MAE
Mae is a venture-backed digital health solution on a mission to improve the health and quality of life for Black mothers, babies, and those who love them. Mae has created a space where complete digital care meets culturally-competent on-the-ground support. We address access gaps and bolster physical and emotional well-being through continuous engagement, risk assessment, early symptom awareness, and a community-led model of support for our users.
Digital solutions to address cultural deficits in care are at the forefront of femtech innovation and Mae is quickly gaining traction with healthcare payers as a viable solution to address the implicit, explicit, and structural biases that hinder equitable maternal health. In addressing whole-person care and focusing on self-advocacy, education, and community, we seek to improve the outcomes for Black mothers, while also reducing clinical costs of care, at impactful scale. See what we're doing at and @maehealthinc on Instagram.
Job Description
We are lean, nimble, fast-paced, and looking for driven, mission-aligned team members to grow with us. The ideal candidate prioritizes passion, collaboration, and efficiency that will match the strong work ethic established by Mae's founding team.
This is a unique opportunity to become an early member of a venture-backed femtech digital health start-up and to join our mission to reduce maternal health disparities and redefine the pregnancy experience for Black expectant mothers.
Mae is looking for a Care Coordinator/Outreach Specialist who is passionate about maternal health equity to support Medicaid payer pilots and member level engagement to address the growing disparity in Black maternal health outcomes.
Key responsibilities include:
As a care coordinator, you will be responsible for supporting and navigating care for members of key payer contracts across a variety of Medicaid landscapes.
The care coordinator will be responsible for maintaining positive relationships with internal and external parties, being the liaison between the member, the Mae team and partner care management teams, and ensuring all documentation has been completed.
What we are looking for:
Benefits include: