Care Connector

This is a fully remote position, open to applicants in Pennsylvania.

📋 Description

• Assist in addressing patient/member concerns while providing clinical education and guidance.

• Ensure patient/member satisfaction by delivering high-quality clinical support.

• Educate and support patients/members through motivational interviewing, problem-solving, interpreting complex clinical issues, researching information, contacting providers, and sharing relevant information.

• Aid patients/members in tackling social determinants of health, special needs, and crisis situations.

• Identify primary and secondary resources, discuss options, and assist patients/members in determining a course of action.

• Advocate for patients/members who are incapacitated or unable to effectively communicate with service delivery systems.

• Act as the main contact for the Enhanced Member Supports Unit, Behavioral Health, and the network for patients/members/providers.

• Evaluate clinical issues and concerns, providing accurate information in a timely manner.

• Manage crisis situations and triage them appropriately.

• Resolve patient/member/provider concerns and inquiries completely.

• Offer daily support and guidance to patient/member/provider services staff.

• Collect caller-needs data for monthly statistical and activity reports.

• Communicate and collaborate with internal departments to resolve issues effectively.

• Gather and document data on special-needs organizations, facilities, and services.

• Prepare, generate, and distribute written communications to patients and members.

• Provide training to the team as necessary.

• Investigate covered benefits and community resources based on line of business and product design.

• Supply team-building resources and guide peers to the relevant policies and procedures.

• Make outbound calls to address complex eligibility issues.

• Navigate multiple computer programs while assisting patients/members/providers.

⛳️ Requirements

• Bachelor's Degree in a relevant field of study (Social Work, Healthcare Administration, Psychology, Public Health, Human Services, or a related healthcare/behavioral health field).

• A minimum of 1 year of relevant work experience.

• Must reside in Pennsylvania.

• Availability for 40 scheduled hours weekly, from 8:30 am to 5 pm during the day shift.

• Not eligible for J-1 waiver.

🏝️ Benefits

• Comprehensive benefits package (health, dental, and vision) starting on the first day.

• Three medical plan options, including an expanded network for out-of-area employees and their dependents.

• Pre-tax savings plans, featuring healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA) with employer contributions.

• Company-funded life insurance, short-term disability, and long-term disability coverage.

• 401(k) plan with automatic contributions from Geisinger.

• Generous paid time off (PTO) plan that allows for rapid accrual of time.

• Up to $5,000 in tuition reimbursement per calendar year.

• MyHealth Rewards wellness program to enhance your health while earning a financial incentive.

• Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay, and a complimentary Care.com membership with discounted backup care for your loved ones.

• Employee Assistance Program (EAP) offering referrals for childcare, eldercare, & pet care; access to free legal guidance, mental health visits, work-life support, digital self-help tools, and more.

• Optional benefits such as accident, critical illness, hospital indemnity insurance, identity theft protection, universal life, and legal and pet insurance.

• Healthcare benefits for full-time and part-time positions from day one, including vision, dental, and coverage for domestic partners.