- Point32Health (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
- Fallon Health (Worcester, MA)
- …of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach , and actions in conjunction with the Navigator and ... care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life… more
- Spira Care, LLC (Liberty, 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
- CVS Health (St. Louis Park, MN)
- …timely and insightful analysis in response to ad hoc requests Participate in member outreach to drive plan performance. Support community development, member ... do it all with heart, each and every day. **Position Summary** As a Medicare Member Advocate supporting the Allina Health | Aetna plan, you will engage with members,… more
- Molina Healthcare (Scottsdale, AZ)
- …plans. + Develops and implements targeted interventions related to performance improvement, including member and provider outreach to improve care and service. + ... to manage and maintain the integrity of established programs/processes and member /provider outreach initiatives. + Supports provision of high-quality clinical… more
- LA Care Health Plan (Los Angeles, CA)
- …to the appropriate departments or outside entities. (75%) Supports robocall and ad-hoc member outreach activities as determined by business need. (15%) Perform ... Center Service Representative I is responsible for a successful completion of the Member Services training program and continues to gain strong knowledge of Medi-Cal… more
- Spira Care, LLC (Kansas City, MO)
- …receiving member incoming calls (return calls and/or triage), in-person interactions, and member outreach as needed in a timely manner for pediatric through ... care team. Job Description: + Establishes a trusted partnership with the member and builds creditability through knowledge sharing and education around healthcare… more
- Centene Corporation (Phoenix, AZ)
- …provides resources for long-term care management team on key initiatives and member outreach to facilitate on-going communication between care management team, ... management staff based on state requirements, care management staff experience, and member needs + Directs the daily activities of long-term care management staff… more
- Molina Healthcare (NM)
- …OhioRISE Plan (when applicable) and or collected by Molina (eg through assessments, new member outreach in advance of the member 's enrollment effective date) ... customers (eg, Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims) to gather documentation pertinent to investigations. *… 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