- Point32Health (Canton, MA)
- …Key Responsibilities/Duties - what you will be doing + Perform telephonic member outreach and/or face-to-face encounter utilizing key motivational interviewing ... care plan which ensures quality medical care for the member . The RN CM works closely with the ...member . The RN CM works closely with the member , the caregiver/authorized representative, and providers to meet the… more
- Spira Care, LLC (Kansas City, KS)
- …customer service to include taking member incoming calls, in-person interactions, and member outreach when needed. + Identifies member experience trends ... The person in the role manages the coordination, supervision, and direction of member flow, problem recognition and resolution, acting as a role model, and providing… more
- Spira Care, LLC (Kansas City, MO)
- …receiving member incoming calls (return calls and/or triage), in-person interactions, and member outreach as needed. + Administer and document member ... Job Description: + Establishes a trusted partnership with the member and builds creditability through knowledge sharing and education...team. + Operates as one of the liaisons for member healthcare needs and utilizes all forms of communication… more
- US Tech Solutions (May, OK)
- **Summary:** Participates in the member and provider outreach , collection, and review of medical records to abstract clinical information for HEDIS quality ... prior to the start of the assignment. **Duties:** * Outreach to members to complete survey to address Social...Use multiple platforms and tools to search for relevant member records * Complete assigned research lists, fax lists,… more
- LA Care Health Plan (Los Angeles, CA)
- …Processes payments for LA Care Covered members. (15%) Supports robocall and ad-hoc member outreach activities as determined by business need. (15%) Performs ... as needed (eg provide informative feedback on desktop procedures, follow-up on member inquiries, CSC Representative shadowing etc.), acting as back-up support to… more
- CVS Health (Baton Rouge, LA)
- …50-75% of the day to engaging with members and coordinating their care. + ** Member Outreach :** Utilize all available resources to connect with and engage ... every day. **Job Purpose and Summary** As an essential member of our Special Needs Plan (SNP) care team,...and other interdisciplinary care team participants to support the member in maintaining optimal health. This is achieved by… more
- PenFed Credit Union (San Antonio, TX)
- …+ Return mail: check internal and external sources to forward mail to members. Member outreach to confirm address and contact information, update system of ... service center. The primary purpose of this job is to answer incoming member inquiries about collection activities and research problems in response to member… more
- Grameen America, Inc (Newark, NJ)
- …services for members. + Identify and shortlist other types of partners for member outreach including specialized partners. (At least 1 faith-based partner.) + ... This position will also be responsible for growing our member base and enhancing our group-lending model. The Director...in Newark, NJ to test the Partnership Model for Member recruitment and programmatic enhancement. + Analyze current industry… more
- Centene Corporation (Salem, OR)
- …and provides resources for care management team on key initiatives and member outreach to facilitate on-going communication between care management team, ... based on state requirements, care management staff experience, and member needs + Manages escalated and complex care cases,...cases, and provides guidance to team members to address member concerns related to mental and behavioral health members… more
- CVS Health (Tallahassee, FL)
- …are evidence-based. * Work collaboratively with the Behavioral Health, Pharmacy, Member Outreach , Care Management, National Quality Management, Utilization ... and advocacy groups for discussions for trend discussions. Attend in-person provider and member meetings as needed. * Develop and guide the implementation of Medical… more