Coordinator III - Care Management AssociateDuties Utilizes critical thinking and judgment to collaborate and inform the case management/concurrent review process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management/concurrent review tools and resources. Will assist with discharge plans, and outreach to members, assist with HH/DME issues.Experience Case management and discharge planning experiencecall center experiencePreferred strong customer service skillsStrong problem-solving and analytical skillsPossess strong computer navigation skillsComfortable with regular feedback and developmentWorks well in a team environmentMust have basic medical terminology experiencePosition Summary Enhancement of Medical Appropriateness and Quality of Care:- Using holistic approach consults with utilization management clinicians, hospital discharge planning staff, supervisors, and/or other health programs to overcome barriers to meeting goals and objectives;Coordinates care with providers as a part of comprehensive and proactive discharge planning.Identifies and escalates quality of care issues through established channels.Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.Helps member actively and knowledgably participate with their provider in healthcare decision-making.Education High school diploma or GED requiredTop Skills:Customer ServiceExp with discharge planningdetail orientedcritical thinkingbasic medical terminology expMust included: Proficient in key boarding, typing 45 wpm with min score of 6500 alphanumeric skill setNote :Monday to Friday 8am to 5pm. Training will be 8am to 5pm for 3 weeksRemote with future possibility of onsiteVerifyable High School Diploma or GED RequiredSafety SensitiveWill need to be onsite first day to pick up equipment, training will be virtualThis position will be dealing with very sensitive and confidential information.Training will be 8am to 5pm for 3 weeks - candidate must be committed to not missing any days within the first 3 weeksVIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
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