Medical Management & Outreach Support Specialist

This is a fully remote position, open to applicants in Idaho, +5 more states.

📋 Description

• Act as the primary telephonic contact between the Case Management (CM) team and designated program members for engagement purposes.

• Offer non-clinical assistance to the Exchange Medical Management CM teams, serving as a program liaison throughout the range of services provided.

• Support case referral processes as needed.

• Aid in engaging complex case members and managing scheduling.

• Attend and actively contribute to mandatory meetings.

• Work collaboratively with external community-based organizations to facilitate and coordinate care under the guidance of an RN Case Manager.

• Partner with social workers and/or care managers to create actionable plans.

• Ensure effective communication among patients, families, colleagues, and community organizations.

• Collect clinical information and assess the appropriate areas for case referrals or assignments.

• Maintain and regularly update tracking databases.

• Prepare reports and document clear, concise notes regarding actions taken.

• Encourage member engagement and enrollment in case management to support the achievement of health objectives.

• Provide network provider or general program information upon request.

• Identify social determinants of health impacting patients' overall health and well-being.

• Carry out additional duties as assigned.

⛳️ Requirements

• High school diploma or equivalent qualification.

• At least one (1) year of experience in an office and/or customer support role, engaging with customers via telephone, email, and/or in person.

• Prior experience in a position that necessitates knowledge of managed care or Medicaid/Medicare is preferred.

• Strong interpersonal communication skills.

• Proficient in oral and written communication.

• Effective problem-solving abilities.

• Strong facilitation skills.

• Keen attention to detail.

• Proficiency in Microsoft Office applications.

• Familiarity with medical terminology.

• Ability to work from home in Arkansas, Washington, Oregon, Utah, Idaho, North Dakota, or Minnesota.

🏝️ Benefits

• Competitive salary and comprehensive benefits package.

• Opportunities for professional development and growth.

• Supportive work environment promoting collaboration and teamwork.