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Community Health Care Case Worker_
3 months ago
**Community Health Care Case Worker** **Location:** Field base position in Columbus, OH 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.
