Clinical Services Group - Care Worker
ICONMA, LLC
Our Client, a Healthcare company, is looking for a Clinical Services Group - Care Worker for their Baton Rouge, LA location. Responsibilities:
+ Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion. Troubleshoots when an appropriate provider, type of service, or appropriate level of care cannot be readily found.
+ Has current knowledge or researches availability of community resources and services and link members to appropriate services.
+ May assist in transitions in care for hospitalized patients and makes appropriate placements, if needed.
+ Assumes responsibility for self-development and career progression.
+ Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role.
+ Assists in the mentoring and training of new Care Workers.
+ Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.
+ Coordinates and manages distribution of correspondence and materials to enrollees and providers.
+ Participates in operational activities, including data collection, tracking, and analysis.
+ Understanding of plan benefit structures, psychiatric/medical terminology, and local communication resources.
+ For roles supporting the Chronic Pain Management SBU, understanding of Chronic Pain Management guidelines and workflows is also required.
Requirements:
+ Experience in a managed care environment, integrated medical and behavioral health care and/or training in chronic pain management.
+ Work Experience: Managed Care
+ Education: Associates (Preferred)
+ Top 3 Must-Haves (Hard And/Or Soft Skills) Computer skills, Detail oriented, Experience with Microsoft Outlook and Microsoft Office
+ Top 3 Nice-To-Haves (Hard And/Or Soft Skills) TruCare experience
+ How Many Years Of Experience Do You Expect Candidates To Have: 3+ years of experience
+ Degree Requirements (Experience In Lieu Of Degree?) High School Diploma or GED
Why Should You Apply?
+ Health Benefits
+ Referral Program
+ Excellent growth and advancement opportunities
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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