Care Management Support Specialist- WAH Nationwide

Profile

Description

Job Description Summary

Care Management Support Specialists contribute to the administration of care management. The CMSS provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state. CMSS do this by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Support Specialist performs varied activities and moderately complex administrative/operational/customer support assignments and typically works on semi-routine assignments. CMSS's work collaboratively with clinical support associates, (including nurses and social workers,) as well as with each other - as part of an interdisciplinary team.

Responsibilities

Job Description

The Support Specialist daily assignments are focused on adherence to area/department policies and methods. The CMSS works within defined parameters to identify work expectations and quality standards in an area with frequently changing prioritization and timing. This role requires the ability to successfully work within outlined expectations, and within specific standards. Working hours for this position is an 8-hour shift, bases on business needs, between 9:30AM and 8PM Eastern Standard Time Mon-Fri. This role requires occasional mandatory overtime, which may include weekend hours.

In this production-based role, you will:


Have a production-based quota
Work with customers (members), business partners, and clinical partners
Provide support for various lines of business
Handle a combination of inbound and outbound calls
Help route calls between departments, and teams
Help provide members with educational resources
Act as a point person on non-clinical issues
Research and verify resources and/or referrals
Assist with message/email routing to appropriate area, including shared e-mail boxes
Schedule and support care conferences
Utilize multiple applications/software throughout your day
Assist with member assignment/routing
Assist with other tasks as needed
Successful candidates thrive in a collaborative team-based environment and values the unique perspectives of others
Leverage clinical experience and expertise, as well as flexibility and openness, in new ways of working
Be a part of an exciting and frequently changing environment


Required Qualifications


1- 3 years of healthcare administration or call center experience
Able to work in a fast paced, multitask work environment
Knowledge of Microsoft Word, Excel, and Outlook
Experience meeting productivity metrics in a high-volume production-based work environment
Excellent communication and interpersonal skills
Access to a private/undisrupted work at home office space
Access to high-speed internet
Ability to work independently in a home office setting


Preferred Qualifications


Associate degree
3 years technical experience
sales and/or customer service experience
Administration support experience in the healthcare industry
Bilingual in English and Spanish
Office 365 and Cloud based services


Scheduled Weekly Hours

40

Company info

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