Care Connector - Special Needs Unit

Geisinger • PA

84d

About The Position

The Special Needs Unit Care Connector will serve as the single point of contact for members to assure non-complex needs of the SN population are resolved. The staff answering calls are positioned to connect to our CM team and the BH-MCO as appropriate and per the direction of the member. The position requires working Monday through Friday during the day shift.

Requirements

• Bachelor's degree in Social Sciences or a related field is required.
• Minimum of 1-year related experience is required.

Responsibilities

• Serves as the primary contact for Special Needs Unit, Behavioral Health and network for patients/members/providers.
• Assists in resolving patient/member concerns, providing appropriate education/instruction and maintaining patient/member satisfaction by providing the highest level of clinical support.
• Assesses all clinical issues and concerns to assure accurate information is provided promptly to patient/member/provider.
• Manages crisis situations with patients/members and triages appropriately.
• Provides assistance with concerns related to social determinants of health.
• Completes resolution for all patient/member/provider concerns and inquiries.
• Provides daily support and direction to patient/member/provider services staff.
• Assists and educates patients/members about available services through motivational interviewing, problem solving, interpreting complex clinical problems, researching information, contacting providers and providing patient/member information.
• Advocates for patient/member who are incapacitated by age, physical or mental illness or handicap, or who are otherwise unable to communicate with various service delivery systems effectively.
• Obtains data on callers’ needs for use in monthly statistical and activity reports.
• Communicates and coordinates with the appropriate internal department to resolve issues.
• Collects and records data on special needs organizations, facilities and services.
• Prepares, generates and appropriately disseminates letter communications to patients and members.
• Provides training within the team as needed.
• Explores covered benefits and community resources as applicable by line of business and product design.
• Completes outbound calls to patients/members/providers to resolve complex eligibility issues.
• Navigates multiple computer programs while assisting patient/member/provider.

Benefits

• Full benefits (health, dental and vision) starting on day one.
• Three medical plan choices, including an expanded network for out-of-area employees and dependents.
• Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA).
• Company-paid life insurance, short-term disability, and long-term disability coverage.
• 401(k) plan that includes automatic Geisinger contributions.
• Generous paid time off (PTO) plan that allows you to accrue time quickly.
• Up to $5,000 in tuition reimbursement per calendar year.
• MyHealth Rewards wellness program to improve your health while earning a financial incentive.
• Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones.
• Employee Assistance Program (EAP): Referrals for childcare, eldercare, & pet care.
• Access free legal guidance, mental health visits, work-life support, digital self-help tools and more.
• Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Bachelor's degree
• Number of Employees: 5,001-10,000 employees