Member Services Representative 24-00715 - Alura Workforce Solutions
Rancho Cucamonga, CA 91730
About the Job
Title
Care Extender- ECM
Position Type: Remote
Schedule: M-F, 8:00 am – 5:00 pm
Pay: $23.98
DESCRIPTION
Under the supervision of the Manager, Practice Transformation - ECM, the Care Extender - ECM is responsible for working as the liaison for all incoming referrals for Enhanced Care Management (ECM) Members to their attributed Community Based Care Management Entity (CBCME). The Care Extender - ECM is responsible for skillfully engaging members who are transferred to the Care Extender queue, screening them for ECM eligibility, and referring over to the attributed CBCME. When the Member does not meet ECM eligibility requirements, the Care Extender - ECM must use sound judgment and determine an alternate referral program within Care Management, Behavioral Health, 3H Housing or Community Health referrals that will meet the Member's needs. The Care Extender - ECM will utilize multiple care management platforms to formally document the Member's disposition.
REQUIREMENTS
- Two (2) years customer service experience in any setting
- Bilingual (English/Spanish) - written and verbal skills required
- Experience of successfully working within a team
- Experience in data entry
- Not Performance Improvement Plan(PIP)
- Promotes an objective and collaborative working environment within CM team
- Supports CM management in reaching department and health Plan goals Strong
- organizational skills, typing 45 words per minute, proficient in Windows applications
INDH
Source : Alura Workforce Solutions