MEMBER CARE COORDINATOR
The Judge Group Inc.

Job Info

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Location: Downers Grove, IL
Description: BASIC FUNCTION: This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities.

ESSENTIAL FUNCTIONS: 1. Responsible for home health assessments and system updates. 2. Perform outreach and follow up attempts to members on their health care plan. 3. Build relationships with members to encourage compliance with care plans and to alert the Case Manager quickly when issues arise. 4. Inform and educate members on their program, may use supplied scripts. Complete records in system by performing data entry. Encourage member usage of our programs, including arranging appointments and additional member services (e.g., transportation). Generate appropriate correspondence and send to member manually, electronically, or telephonically. 5. Conduct check-ins with members to review individual care plan goals. 6. Maintain production requirements based on established department business needs. 7. Provide support to the clinical team by performing the non-clinical functions (as identified by the business process) necessary to generate, manage, and close a case within the platform.

JOB REQUIREMENTS:

3 years care coordination for a state managed or waiver program OR 3 years managed care systems experience.

Knowledge of medical terminology

Experience coordinating member medical related needs, providing assistance to members, and analyzing member needs

Contact: sumarao@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

This job has expired.