- Conduct outbound phone calls to members to conduct health assessments, identify care needs, and determine appropriateness for participation in care coordination programs
- Assist and support patients with barriers to care including, but not limited to, scheduling appointments, and locating and accessing community resources
- Work collaboratively with patients, network providers, referral coordinators, office and hospital staff; document all activities
- Communicate care coordination services available to patients and caregivers
- Screen for physical health and behavioral health needs to refer to appropriate healthcare professionals for effective and timely intervention
- Perform a variety of activities to provide meaningful data to providers, patients and their families
- Participate in a variety of educational programs to maintain current skill and competency levels
- Perform miscellaneous job-related duties as assigned
- Associate's degree in Healthcare or a related field of study; or, an equivalent combination of education and/or experience
- Minimum two (2) years of experience in customer service or in a directly related position in the healthcare industry
- Proficiency with Microsoft Office applications and web-based technologies
- Bilingual; able to read, write, and speak Spanish and English proficiently
- Previous experience, knowledge and understanding of coordinating care for members
- Familiarity with federal and state laws and requirements related to healthcare and health information protection
- One or more of the following certifications: Basic Life Support (BLS), Certified Medical Assistant (CMA), Certified Nursing Assistant (CNA), Emergency Medical Technician (EMT)
- Excellent verbal, written and interpersonal communication skills
- Able to speak clearly and concisely in English and Spanish, conveying complex or technical information in a manner that others can understand, and able to understand and interpret complex information from others
- Demonstrated ability to gain acceptance and compliance from clinical staff to achieve mutually beneficial outcomes
- Excellent problem-solving skills, including the ability to systematically analyze problems, draw relevant conclusions and devise appropriate courses of action
- Strong organizational and prioritization skills; able to manage multiple activities and work independently with minimal supervision
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IT Customer Care Specialist
1 week ago
Bureau Veritas Group Houston, United States**IT Customer Care Specialist** · **Please wait...** · **Location:** Houston, Texas, US Provider Description Enabled SAP as service provider · "route" is used for session stickiness · "careerSiteCompanyId" is used to send the request to the correct data center · "JSESSIONID" ...
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Managed Care Specialist
4 weeks ago
Cedar Gate Technologies Inc Houston, United StatesJob Description · Job DescriptionJob Location: Hybrid Remote in our office in Houston, TX · Position Summary · Reasons you will want this position: · We are a rapidly growing company with limitless career growth and advancement for top performers · Our culture appreciates and rew ...
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Customer Care Specialist ll
1 week ago
haatx Houston, United States**Customer Care Specialist ll** · Title Customer Care Specialist ll Organization Houston Grand Opera Closing Date Location Houston, TX Information Job Title: Customer Care Specialist II · Department: Customer Care Center · Reports To: Customer Care Manager · Classification: N ...
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Client Care Specialist 2
1 week ago
AIDS Healthcare Foundation Houston, United StatesWHO WE ARE · AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation · Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an organization that encourages gr ...
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Patient Care Assist Specialist
4 weeks ago
Houston Methodist Hospital Houston, United States Full timeAt Houston Methodist, the Patient Care Assistant (PCA) Specialist position is responsible for functioning as an expert and demonstrates highly competent knowledge necessary to communicate appropriately and carry out delegated nursing assistant level tasks for assigned patient pop ...
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Client Care Specialist 2
4 weeks ago
AIDS Healthcare Foundation Houston, United StatesJob Description · Job DescriptionOverview · AMAZING INDIVIDUALS WORKING FOR POSITIVE PEOPLE at AIDS Healthcare Foundation · Does the idea of doing something that really makes a difference in people's lives while being well-compensated intrigue you? Are you looking to work for an ...
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Patient Care Assist Specialist
1 week ago
Houston Methodist Hospital San Francisco, United States PermanentAt Houston Methodist, the Patient Care Assistant (PCA) Specialist position is responsible for functioning as an expert and demonstrates highly competent knowledge necessary to communicate appropriately and carry out delegated nursing assistant level tasks for assigned patient pop ...
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Prayer Care Specialist-PT
3 days ago
HOPE MEDIA GROUP Houston, United StatesJob Summary: · The Prayer & Care Line Specialist will report directly to the Supervisor of Prayer & Care Line and will be responsible for answering all aspects of the call center. The Prayer & Care Line Specialist's main responsibility is to pray and intercede for all incoming pr ...
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Patient Care Assist Specialist
1 week ago
Houston Methodist Hospital Houston, United StatesAt Houston Methodist, the Patient Care Assistant (PCA) Specialist position is responsible for functioning as an expert and demonstrates highly competent knowledge necessary to communicate appropriately and carry out delegated nursing assistant level tasks for assigned patient pop ...
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Managed Care Contract Specialist
5 days ago
Memorial Hermann Health System Houston, United StatesAt Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for ...
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Care Specialist
1 hour ago
SYNERGY HomeCare of North Houston Houston, United States· Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. And that starts with compassionate caregivers like YOU When you join the SYNER ...
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Acute Care Education Specialist RN
1 week ago
Chi Houston, United StatesOverview · Up to $10,000 Relocation assistance · Baylor St. Luke's Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Luke's Health. Located in the Texas Medical Center, the hospital is th ...
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Acute Care Education Specialist RN
1 week ago
Catholic Health Initiatives Houston, United States**Overview** · **Up to $10,000 Relocation assistance** · Baylor St. Lukes Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Lukes Health. Located in the Texas Medical Center, the hospital ...
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Clinical Field Specialist, Critical Care
1 week ago
Edwards Lifesciences Houston, United StatesFor over 50 years, the Critical Care business within Edwards Lifesciences (NYSE: EW) has operated at the intersection of groundbreaking medical innovation and improved patient care. Put simply, we exist because we're committed to creating a world where every patient who should be ...
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Acute Care Education Specialist RN
2 weeks ago
CommonSpirit Health Houston, United StatesOverview: · Up to $10,000 Relocation assistance · Baylor St. Lukes Medical Center is an 881-bed quaternary care academic medical center that is a joint venture between Baylor College of Medicine and CHI St. Lukes Health. Located in the Texas Medical Center, the hospital is the ...
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Acute Care Education Specialist RN
2 days ago
CHI Mercy Health Houston, United States1. Demonstrates expertise in the teaching /learning process and Assists management and clinical staff to develop and provide educational programs 2. Utilizes Prophecy Assessments to identify learning needs and assists the nurse managers, clinical nur Education, Specialist, RN, Ac ...
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Clinical Field Specialist, Critical Care
4 days ago
Edwards Lifesciences Houston, United StatesThroughout our history, Edwards has helped transform the way physicians monitor and take preventative measures for cardio patients. Our Critical Care business unit specializes in advanced hemodynamic monitoring solutions, including artificial intelligence algorithms to provide pr ...
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St Hope Foundation Houston, United StatesWe are seeking a PEDIATRIC MEDICAL AND DENTAL PATIENT CARE SPECIALIST to become a part of our team You will be responsible for administrative duties for primary care services. · Responsibilities · Responsibilities activities of an Pediatric Medical and Dental Patient Care Special ...
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RN Care Specialist
1 week ago
Texas Children's Hospital Houston, TX, United StatesWe are searching for an Advanced Respiratory Care Practitioner - someone who works well in a fast-paced setting. In this role, you'll administer a variety of respiratory care procedures in a developmentally/age appropriate manner for patients ranging from neonates to adults. · Pe ...
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St. Hope Foundation Houston, United StatesJob Description · Job DescriptionSalary: · We are seeking a PEDIATRIC MEDICAL AND DENTAL PATIENT CARE SPECIALIST to become a part of our team You will be responsible for administrative duties for primary care services. · Responsibilities · Responsibilities activities of an Pedia ...
Care Specialist - Houston, United States - Equality Health
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Description
Equality Health, LLC is a Phoenix-based whole-health delivery system focused on transforming value-based care delivery with population specific programs that improve access, quality, and member trust. Our mission is to ensure diverse populations receive quality healthcare that improves and enriches their lives. Through an integrated technology and services platform, culturally competent provider network and personalized care model, Equality Health helps managed care plans and health systems improve outcomes for diverse populations while simultaneously making the transition to risk-based accountability.
Position Summary:
The Care Specialist/Customer Service Representative is primarily responsible for providing supportive care and assistance to a diverse patient population to identify barriers to self-care and healing, decision making, and communication in navigating the healthcare system. The Care Specialist/Customer Service Representative works closely with, Community Health Workers, Chaplains, and other members of the Clinical Operations team, and consistently demonstrates a high standard of ethical behavior, professionalism, sensitivity, and confidentiality.
*Only considering candidates in the Houston, TX area, position is remote*
Responsibilities:
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training