Role overview

Qualifications

Associate’s degree in relevant field or equivalent experience with specific certification
2 years’ experience working in healthcare with individuals preferably with chronic diseases and/or behavioral health needs
Bilingual English/Spanish fluency
Residency in Puerto Rico required

Responsibilities

Connect with members to develop and support health care and address barriers
Establish trusting relationships with members and their caregivers
Collect and document relevant member demographics and healthcare information
Conduct a minimum of outreach calls a day to eligible patients

Key facts

Remote from: Puerto Rico
Full time
Mid-level (2-5 years)
English, Spanish

Hard skills

Hospital Experience Managed Care Software Metrics Behavioral Health Internal Documentation

Other skills

Customer Service
Communication
Problem Solving
Microsoft Office
Prioritization
Collaboration

About the company

Healthmap Solutions

Public Health

Healthmap Solutions (Healthmap) is a NCQA-accredited industry leading kidney population health management company. Healthmap uses big data resources, integrated advanced technology, clinical expertise, and complex care management to improve the lives of people living with kidney disease. Healthmap also helps healthcare providers and payers achieve the value-based results they need. Our company is a diverse and growing organization committed to our clients, the patients we support, and our employees. We are champions for better health, for those who need us most.

Company details

Company typeSME

IndustryPublic Health

Company size201 - 500

Links

Website LinkedIn See all jobs

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Job description

Description

Position at Healthmap Solutions Puerto Rico

Company Background

Healthmap Solutions is the future of specialty health management that focuses on progressive diseases, with a particular expertise in kidney health populations. Healthmap Solutions uses clinical big data resources and high-powered analytics to power complex specialty health management programs. Healthmap Solutions is a diverse, growing company committed to our clients and our employees. We are champions for better health, for those who need us most.

Position Summary:
Healthmap’s Clinical Services Wellness Coach interacts with members to address care needs, promote wellness, mitigate social determinants of health and improve overall health outcomes. The Wellness Coach will focus on Education, Special Programs and Assessments as part of a Care Team that includes nurses, social workers, and dietitians. This role will manage their caseload through a variety of communications platforms and is responsible for providing exceptional customer service that encourages progress toward healthier habits.

Responsibilities:

Connect with members to develop and support health care. Identifying and addressing barriers and solutions like medication reminders, scheduling appointments, and direction towards community-based support programs, etc.
Establish trusting, supportive, and collaborative relationships with members and their caregivers to guides access to resources that allow strengths to be leveraged for positive change
Meet with team to review set goals and address targets established by the department and Service Level Agreements
Collect and document relevant member demographics and healthcare information and ensure accuracy in the Employee Health Record (EHR) system
Answer inbound and outbound calls from members, providers, and other resources to support company objectives
Conduct a minimum of outreach calls a day to a targeted list of eligible patients to describe the benefits of Healthmap Kidney Health Management program and enroll
Receive inbound self-referral member calls to enroll in Healthmap’s KHM program
Engage with members so they understand and are comfortable with the terms of care, following internal scripting and/or talking points to respond to resistance with professional courtesy
Report complaints and identify potential corrective and preventative actions to solve issues where possible, some issues may require escalation based on established procedures
Perform other duties as assigned

Requirements:

Associate’s degree in relevant field. Equivalent experience with specific certification may be considered in lieu of education
2 years’ experience working in healthcare with individuals preferably with chronic diseases and/or behavioral health needs
Experience in managed care, physician office, or account management preferred
Experience working with Medicare, Medicaid, preferred
Previous experience working in a metrics-driven environment, preferred
Bilingual English/Spanish fluency is required
Residency in Puerto Rico required

Skills:

Ability to problem-solve and execute initiatives
Excellent verbal and written communication skills
Ability to manage multiple priorities
Must be proficient in Microsoft Office: Outlook, Word, Excel, PowerPoint

Travel:

Limited Travel, Scheduled per needs of the business

#LI-Remote

Americans with Disability Specifications

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

As an Equal Opportunity Employer, we will not discriminate against any job candidate or employee due to age, race, religion, ethnicity, national origin, gender, gender identity/expression, sexual orientation, disability, familial status, veteran status, marital status, parental status, or pregnancy. In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.