• Job Description

  Req#: 29505

  This is a remote role, but applicants must reside in Delaware or Pennsylvania.

  Hours: Monday thru Friday 10 AM - 7 PM

  The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs Outbound calls to Members, Providers and other areas, internal and external to the company. The CC identifies members with Care Gaps/HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care. Education/Experience Required: High School Diploma or GED Minimum of 2 years of prior work experience Ability to Multitask Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports. Detail oriented Maintain Member confidentiality Organized Proficient PC skills in a Windows based environment including word processing, spreadsheets and database programs Preferred: Experience in Healthcare or Managed care Call Center experience Familiar with Medical terminology, ICD, CPT, and/or Coding experience. Member service or customer service telephone experience. Behavioral health experience. Willingness to work any shift. Availability for in-service training.

• About the company

  AmeriHealth Caritas is a different kind of health care company. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP — plus pharmacy benefit management, behavioral health, and administrative services.

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