- Performing Personal Health Assessments and providing education on the biometric results
- Closing member care gaps by accurately documenting test results in the clinical record
- Presenting health education classes and programs
- Participating in outbound call campaigns to members for Enterprise Partners, including Commercial, U65, and Medicare teams.
- Providing referrals to community resources such as elder care.
- Educating prospective customers and members on benefits structure and care setting alternatives.
- Educating prospective customers and members and helping them access and understand cost and quality comparisons.
- Providing appropriate referrals to other corporate programs such as, Healthy Addition, New Directions and Care Management.
- Coordinating care for members as appropriate using a personalized care plan.
- Host Customer Video Appointments.
- Educate members on digital platforms such as Blue for Me and MeQuilibrium
- Bilingual Spanish/English
- Must be willing to work flexible hours to include evenings,
- Experience with automated medical systems
- Health Coaching
- Related bachelor's degree, Social Work preferred.
- Sales work experience
- Knowledge of benefit plans Knowledge of provider contracting and reimbursement methodologies
- Knowledge of member tools such as the Member Portal Knowledge of care management, disease management and similar care programs Knowledge of health and specialty products and ability to inform others of how to use benefits in conjunction with specific illnesses Knowledge of community resources
- Income protection benefits: life insurance, Short- and long-term disability programs.
- Retirement Savings Plan includes employer contribution and employer match.
- Paid time off, volunteer time off, and 11 holidays
- Benefits for intern, part-time and seasonal employees may differ.
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Registered Nurse Medical Care Center - Clermont, FL, United States - Blue Cross and Blue Shield Association
Description
Bilingual Florida Blue Center Nurse RNFlorida Blue, a GuideWell Company, has been providing insurance to residents of Florida for 75 years.
Driven by its mission of helping people and communities achieve better health, the company serves more than five million healthcare members across the state.
Friendly and outgoing sales-centered individuals that are passionate about helping others achieve their healthcare goalsWhen it comes to our benefits, we offer a total compensation package including competitive base pay, health insurance, 401(k), as well as work-life balance programs, flexible work arrangements, and opportunities for growth and development.
We design our offerings to take care of you-to help you be your best at work and in life.Love engaging with people to help them achieve better health? We make it our priority to utilize our skills and knowledge to help members make positive changes in their health and well-being.
While on this team you will proactively manage prospective customers and members' experience through the health care continuum and delivery system in a Florida Blue Center environment by assessing needs, educating on benefit plans, costs, choices, tools, and programs, and referring to Florida Blue programs and resources as appropriate.
Contacts and referrals can come from a variety of internal and external sources, including member self-service, Care Managers, the member contact center, third party vendors such as Health Dialog, wellness/health fairs and GuideWell Enterprise Channels.
Present health education classes and programs to members and non-members. Perform Personal Health Assessments on members and provide education on ways to achieve better health.Highway 50 Clermont, FL 34711
Hours of Operation:
Monday - Friday 9:00 a.m. - Saturday 9:00 a.m. - Provides personal, Care engagement and assistance with coordination of health care benefits and services to prospective customers and members in the Direct-to-Consumer Channel by:
When you become part of the GuideWell family, you help bring our mission to life by helping people and communities achieve better health.
We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities.
As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities.
To support your wellbeing, comprehensive benefits are offered. Medical, dental, vision, life, and global travel health insurance.Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.
We are an Equal Opportunity/Protected Veteran/Disabled Employer committed to creating a diverse, inclusive, and equitable culture for our employees and communities.
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