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Care Management Associate-Intake Specialist
2 months ago
Enhancement of Medical Appropriateness and Quality of Care:- Using holistic approach consults with utilization management clinicians, hospital discharge planning staff, supervisors, and/or other health programs to overcome barriers to meeting goals and objectives;
Job Description: -Coordinates care with providers as a part of comprehensive and proactive discharge planning. -Identifies and escalates quality of care issues through established channels. -Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs. -Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. -Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. -Helps member actively and knowledgably participate with their provider in healthcare decision-making.
Required Skills: *1+ years customer service or call center environment * 1+ years Computer experience with proficiency in Microsoft Outlook, Word and Excel. * 1+ years Basic data entry experience with attention to accuracy and quality is essential. * 6 mo. Experinece with Care management and Discharge planning. * Minimum Typing Speed: 45 wpm (assessments will be required)
Education: Verifiable High school diploma or GED required NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
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