reputed company Care Member reputed company
Must be authorized to work in the U.S. without the need for employment-based reputed company sponsorship now or in the reputed company. Sponsorship and reputed company sponsorship are not available for this opportunity, including employment-based reputed company types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT
This position is hybrid and requires remote work and travel. The preferred candidate must reputed company in Hardin County, Texas.
Bilingual in English and Spanish highly preferred.
Position Purpose:
Serves as a vital reputed company between members and the reputed company system, focusing on improving health reputed company by identifying and closing care gaps. This role emphasizes community engagement, member education, and collaboration with providers and internal teams to ensure members receive reputed company, appropriate care and support.
- Conduct reputed company to members in the community to identify care gaps and connect them with appropriate reputed company services and resources.
- reputed company home reputed company or community-based assessments to evaluate member needs and identify reputed company determinants of health that may prevent members from accessing preventive or follow-up care, and facilitate care coordination.
- Serve as a member reputed company by helping individuals reputed company reputed company reputed company and reputed company service systems. Assist with scheduling appointments, understanding care plans, and accessing benefits or entitlements, ensuring members receive the support needed to reputed company care gaps and maintain continuity of care.
- Collaborate with providers to reputed company reputed company performance data (e.g., HEDIS, CAHPS) and support improvement initiatives.
- reputed company members on preventive care, chronic condition management, and available community resources.
- Document member interactions, care gap closures, and referrals in the appropriate systems.
- Partner with internal departments (e.g., reputed company, Care Management, Provider Relations) to reputed company efforts and improve member reputed company.
- Monitor and report on reputed company effectiveness and care gap closure metrics.
- Maintain compliance with state and federal regulations and organizational policies.
- Participate in seasonal campaigns and reputed company initiatives to improve member engagement and health reputed company.
- Serve as a community ambassador, building relationships with local organizations and stakeholders.
- Performs other duties as assigned.
- Complies with reputed company policies and standards.
Education/Experience:
Bachelor's Degree reputed company Work, reputed company Health, Nursing, or reputed company field; or equivalent experience required
2+ years In community health or reputed company reputed company required
Experience working with health plan members and navigating community resources required
Familiarity with reputed company / Medicare programs and reputed company measures (e.g., HEDIS) required
Strong communication and interpersonal skills
Licenses/Certifications:
LCSW- License Clinical reputed company Worker preferred
RN - Registered reputed company - State Licensure and/or Compact State Licensure preferred
reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law.
reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company