Care Connector

Amerihealth Caritas•,

10d•Hybrid

About The Position

The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers, and other areas, internal and external to the company. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase healthcare adherence and reduce barriers to care.

Requirements

High School Diploma or equivalent required
Minimum of two (2) years of work experience in a healthcare environment required
Minimum of one (1) year of telephonic customer service experience required, preferably within a healthcare setting
Excellent interpersonal and verbal communication skills and the ability to write clear and concise reports
Attention to detail and confidentiality with strong organizational skills
Proficient PC skills in a Windows-based environment, MS Office products, including word processing, spreadsheets, and database programs

Nice To Haves

Managed care experience preferred
Medical terminology, ICD, CPT, and/or coding experience preferred
Strongly prefer Medical Assistant, Home Health Aide, Nursing Assistant, or other similar health care para-professional training or certification
Prior member service or customer service telephone experience desired
Prior behavioral health experience is a plus

Responsibilities

Supporting the daily operations of integrated care management and utilization management program interventions.
Performing in a contact center environment, effectively processing calls from Members, Providers, and other areas, internal and external to the company.
Providing members with educational materials and carrying out strategies to increase healthcare adherence and reduce barriers to care, under the direction of Clinical staff.