Concierge Manager

CommuniCare Health Services•OH CHS SNP, Inc., OH

About The Position

The I-SNP Member Concierge provides personalized, high-touch support to members enrolled in the Medicare Advantage I-SNP. The Concierge serves as a trusted point of contact for members, families, facility staff, providers, and internal health-plan teams. The primary goal is to create a seamless, personalized member experience while helping members understand and access their benefits, services, care resources, and health-plan support. The Concierge builds relationships with members and facility partners, identifies barriers to care, coordinates solutions, and ensures concerns are appropriately escalated and resolved.

Responsibilities

  • Serve as a dedicated point of contact for assigned I-SNP members.
  • Build meaningful relationships with members and their families or caregivers.
  • Conduct proactive outreach to promote engagement and satisfaction.
  • Identify member needs, concerns, preferences, and barriers to care.
  • Provide personalized assistance throughout the member’s health-plan journey.
  • Promote member loyalty and retention through exceptional service.
  • Educate members about I-SNP benefits, services, resources, and care-management programs.
  • Explain how to access plan resources in a clear, easy-to-understand manner.
  • Assist members with navigating the health-care system.
  • Reinforce the role of the interdisciplinary care team and primary care providers.
  • Provide appropriate education regarding preventive services and available plan resources.
  • Help members navigate appointments, providers, transportation resources, pharmacy services, and other plan-supported resources.
  • Identify potential gaps or barriers and communicate concerns to the appropriate care team.
  • Coordinate with Care Management, Clinical, Provider Relations, Member Services, and other departments.
  • Escalate clinical concerns to appropriately licensed clinical staff.
  • Follow up to ensure identified issues are addressed.
  • Develop strong relationships with participating facilities and their leadership.
  • Work collaboratively with facility staff to improve the member experience.
  • Participate in facility visits, member events, educational sessions, and engagement activities.
  • Identify trends or recurring member concerns and communicate them to [recipient not provided in the supplied text].
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