Care Management Support Assistant

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

📋 Description

• Engage with members via phone to promote involvement in care management programs.

• Conduct non-clinical assessments and surveys to pinpoint health risks, care requirements, and prospects for clinical team follow-up.

• Assist members in scheduling medical appointments and connecting with suitable care resources.

• Identify and address obstacles to preventive screenings, benefits, and health-related services.

• Aid members in understanding, retaining, and accessing their health-related benefits.

• Handle incoming and outgoing calls in an auto-dialer setup.

• Accurately document member details and customer issues.

• Implement department guidelines, training, tools, and procedures.

• Work autonomously, manage time effectively, and seek assistance when clarification is needed.

• Adapt to evolving healthcare priorities, member needs, and business processes.

⛳️ Requirements

• At least 1 year of experience in managing high-volume inbound and outbound calls.

• Proven record of achieving documented productivity, quality, or service performance metrics.

• Experience in navigating, documenting, and updating member or customer information across various applications, programs, and platforms.

• Proficiency in using Microsoft Word, Excel, Teams, and Outlook.

• Capability to work a scheduled 8-hour shift, including a 30-minute lunch, between 11:30 AM and 8:00 PM EST as assigned.

• Availability to work Monday-Friday during call center hours as scheduled.

• Must attend the first 2 weeks of training from 8:30 AM to 5:00 PM EST with no time off allowed during this period.

• Management approval is required for any time off during the first 90 days.

• Willingness to work occasional mandatory overtime, including evenings and weekends, as necessary.

• Minimum home internet speed of 25 Mbps download and 10 Mbps upload.

• Ability to work from a designated area without continuous interruptions to safeguard member PHI/HIPAA information.

🏝️ Benefits

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Additional wellness and healthcare support opportunities.