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Member Health Assessor

Role overview

Qualifications

  • High School Diploma or GED required
  • Minimum of two years of experience in community settings with at-risk populations preferred
  • Proficient with Microsoft Office, including Outlook, Word, and Excel
  • Good interpersonal skills

Responsibilities

  • Engage with members to conduct health risk assessments
  • Coordinate logistics to support care plan goals and interventions
  • Verify eligibility and current health status of each member prior to outreach
  • Assist with health education and maintain appropriate documentation

Key facts

  • Remote from: Georgia (USA)
  • Full time
  • Mid-level (2-5 years)
  • English

Other skills

  • Troubleshooting (Problem Solving)
  • Microsoft Office
  • Social Skills
  • Client Confidentiality
  • Cultural Sensitivity
  • Communication
  • Teamwork
  • Time Management
  • Empathy

About the company

CareSource logo

CareSource

Health Insurance (Payers)

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问,您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈,请拨打您的会员 ID 卡上的会员服务电话号码。

Company details

Company typeLarge
IndustryHealth Insurance (Payers)
Company size1001 - 5000

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Job description

Weekend Requirement

Job Summary:

The Member Health Assessor engages with the member to establish an effective, professional relationship with primary responsibility to conduct their health risk assessment.

Essential Functions:

  • Participate in the Integrated Care Coordination Team as needed
  • Coordinate logistics to support care plan goals and interventions – as needed to address immediate member concerns
  • Verify eligibility, previous enrollment history, demographics and current health status of each member prior to outreach
  • Conduct assessments by gathering information from the member, family, provider and other stakeholders, as directed by Member and/or their Legally authorized representative
  • Contribute to the development and implementation of care plan, and reporting information to the Care Coordinator based on assessment outcomes, when needed
  • Assist with the provision of health education, wellness materials and coaching ,as appropriate
  • Maintain appropriate documentation within protocols and guidelines of the Care Management program
  • Starts each intervention with members wondering, “What does the world look like for this person, and how can I meet him or her where they are?  What are his or her unique needs, and how can CareSource help?”  In each interaction, the employee will aspire to help the member to feel informed, empowered, and supported by CareSource
  • Looks for ways to improve the process to make the members experience with CareSource easier and streamlines time to complete the assessment and follow-up
  • Perform any other job duties as requested

Education and Experience:

  • High School Diploma or General Education Diploma (GED), is required
  • Minimum of two (2) years of experience in either volunteer or paid position working in community settings with at risk populations providing coordination of services is preferred

Competencies, Knowledge and Skills:

  • Proficient with Microsoft Office, including Outlook, Word and Excel
  • Sensitivity to and experience working within different cultures
  • Good interpersonal skills
  • Ability to work independently and within a team environment
  • Ability to identify problems and opportunities and communicate to management
  • Developing knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
  • Demonstrate compassion, support and collaboration with members and families
  • Self-motivated and inquisitive
  • Comfort with asking pertinent questions
  • Ability to work in a fast-paced environment
  • Ability to demonstrate and promote ethical conduct
  • Ability to develop positive relationships with all stakeholders
  • Awareness of community & state support resources
  • Organized , detail-oriented and conflict resolution skills
  • Ability to keep composure and professionalism during times of high emotional stress
  • Ability to maintain confidentiality and act in the company’s best interest
  • Proven track record of demonstrating empathy and compassion for individuals
  • Proven track record for improving processes to make things easier for those you have served

Licensure and Certification:

  • None

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time

Compensation Range:

$35,900.00 - $57,300.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Hourly

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business


 

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

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