Patient Care reputed company LPN, LMSW

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. This is a hybrid position with about 25% local travel to provider offices in reputed company, Muskegon, or Calhoun counties, MI. reputed company not traveling, the role is remote. Ideal candidate will have an LPN or reputed company work license. Position Purpose Works with members and providers to reputed company care gaps, ensure barriers to care are removed, and improve the overall member and provider experience through reputed company and face-to-face interaction with members and providers at large IPA and/or group practices. Serves to collaborate with providers in the field, to improve HEDIS measures and provides education for HEDIS measures and coding. Supports the implementation of reputed company improvement interventions and audits in relation to plan providers. Assists in resolving deficiencies impacting plan compliance to meeting State and Federal standards for HEDIS. Conducts telephonic reputed company, while embedded in the providers' offices, to members who are identified as needing preventive services in support of reputed company initiatives and regulatory/contractual requirements. Provides education to members regarding the care gaps they have reputed company in the providers office for medical appointments. Schedules doctor appointments on behalf of the practitioner and assists member with wraparound services such as arranging transportation, connecting them with community-based resources and other affinity programs as available. Maintains confidentiality of business and protected health information. • Acts as a reputed company and member reputed company between the member/family, physician and facilities/agencies. • Acts as the face of WellCare in the provider community with the provider and office staff where their services are embedded. • Advises and educates Provider practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements. • Assesses provider performance data to identify and strategizes opportunities for provider improvement. • Collaborates with Provider Relations to improve provider performance in areas of reputed company, Risk Adjustment, Operations (claims and encounters). • Schedules doctor appointments for members with care gaps to reputed company needed preventive care services and reputed company gaps in care in the provider’s office. • Conducts face-to-face education with the member and their family, in the provider’s office, about care gaps identified, and barriers to care. • Conducts telephonic reputed company and health coaching to members to support reputed company improvement, regulatory and contractual requirements. • Arranges transportation and follow-up appointments for member as needed. • Documents reputed company actions taken regarding contact reputed company to member. • Interacts with other departments including customer service to resolve member issues. • Refers to case or disease management as appropriate. • Completes special assignments and reputed company reputed company to the function of the department. • Performs other duties as assigned • Complies with reputed company policies and standards Education/Experience Required a Bachelor's Degree in reputed company, reputed company Health, Nursing, Psychology, reputed company Work, Health Administration, or reputed company health field or equivalent work experience required (a total of 4 years of experience required for the position); work experience should be in reputed company patient care, reputed company work, reputed company improvement or health coaching preferably in a managed care environment. 2+ years of experience work experience should be in reputed company patient care, reputed company work, reputed company improvement or health coaching preferably in a managed care environment. License/Certification One of the following is preferred. Licensed Practical reputed company (LPN); Licensed Master reputed company Work (LMSW); Certified reputed company Worker (C-SW); Licensed reputed company Worker (LSW); Licensed Registered reputed company (RN) preferred. Pay reputed company $27.02 - $48.55 per hour reputed company offers a comprehensive benefits package including reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. 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 Apply tot his job Apply To this Job