Care Connector

Location: Work from home (Pennsylvania) Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: No Job Summary: Enhanced Member Supports Unit In this role, you will assist in resolving patient/member concerns, providing appropriate education/instruction and maintaining patient/member satisfaction by providing the highest level of clinical support. Assists and educates patients/members about available services through motivational interviewing, problem solving, interpreting complex clinical problems, researching information, contacting providers and providing patient/member information. Assists patient/members with social determinants of health, special needs, and/or crisis situations by helping to identify the problem(s) through interviewing skills, identifying primary and secondary resources, by discussing options with the patient/member, and helping them decide on the plan of action. Advocates for patient/member who are incapacitated by age, physical or mental illness or handicap, or who are otherwise unable to communicate with various service delivery systems effectively. Job Duties: Serves as the primary contact for Enhanced Member Supports Unit, Behavioral Health and network for patients/members/providers. Assesses all clinical issues and concerns to assure accurate information is provided promptly to patient/member/provider. Manages crisis situations with patients/members and triages appropriately. Provides assistance with concerns related to social determinants of health. Completes resolution for all patient/member/provider concerns and inquiries. Provides daily support and direction to patient/member/provider services staff. Obtains data on callers’ needs for use in monthly statistical and activity reports. Communicates and coordinates with the appropriate internal department to resolve issues. Collects and records data on special needs organizations, facilities and services. Prepares, generates and appropriat