Community Health Care Case Worker
Elevance Health
**Community Health Care Case Worker**
**Location:** Community based in Columbia, MO
The **Community Health Care Case Worker** is responsible for serving as the initial and main point of Field contact between the Company and current and potential members.
**How you will make an impact:**
+ Responds to telephone, written, and in-person inquiries and initiates steps to assist regarding issues relating to content or interpretation of benefits, policies and procedures.
+ Provides timely and accurate resolution of inquiries and issues regarding benefits, services and policies.
+ Supports and promotes State Sponsored Programs through participation in community events.
+ Represents State Sponsored Programs in community collaborations.
+ Supports member access to care through home visits, processing of reports, and distribution of collateral materials.
+ Performs new member orientations.
+ Provides superior quality outcomes by taking ownership of issues to ensure timely resolution or follow-up.
+ Provides superior, professional, and courteous service to customers.
+ Comprehends the various cultural and linguistic needs of the Medicaid and SCHIP population, knowledge of the various health and social services available in the assigned region with a special emphasis on services offered by community based organizations, ability to work professionally with the company's associates, community-based organizations, providers and plan members.
**Minimum Requirements:**
+ Requires HS Diploma and a minimum of 1 year of customer service experience, or any combination of education and experience that would provide an equivalent background.
**Preferred Skills, Capabilities, and Experiences:**
+ Understanding of the basic principles of managed care and the concepts of publicly financed health insurance such as Medicaid and SCHIP programs is preferred.
+ A Community Health Worker Certificate must be obtained in the first 6 months of employment in certain business units.
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