Job Information
WellSense Care Coordinator, BH in United States
Care Coordinator, BH
WellSense Health Plan is a nonprofit health insurance company serving members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded 25 years ago as Boston Medical Center HealthNet Plan, we provide plans and services that work for our members, no matter their circumstances.
Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294316)
It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
Job Summary:
The Care Coordinator, BH is a member of the Behavioral Health Care Management (BH CM) team whose role is toperform telephonic outreach and screenings of identified members and to provide coordination of BH and community resources. The Care Coordinator, BH supports members and providers across service areas, identifies facilities and programs, and advocates and coordinates care for the members to ensure access to BH services and to community resources that address social determinants of health. The Care Coordinator, BH triages for and collaborates with clinical staff to ensure members receive appropriate care management.
The Care Coordinator, BH collaborates with their clinical team members, the Customer Care department and other internal departments to support member needs.
Our Investment in You:
· Full-time remote work
· Competitive salaries
· Excellent benefits
Key Functions/Responsibilities:
Uses motivational interviewing skills to engage members into care management via telephonic outreach.
Provides information to members with the goal of increasing member knowledge and participation in their own healthcare management including but not limited to information on how to obtain resources; basic health information; information packets containing health information relative to the Member’s identified condition
Maintains current knowledge of community resources for referral and linkage to meet Members’ needs
Advocates for the Member and coordinates BH/SUD and community resources
Answers and triages calls from the department’s toll-free line
Monitors the team’s mailbox and relays information received to Care Managers and triages referrals received via email
Triages cases to clinical staff
Facilitates referrals, performs telephonic screenings, arranges wellness visits and provides appointment and preventative care reminders, as needed
Coordinates and facilitates access to BH/SUD services, resolves issues related to social determinants of health and collaborates with providers, facilities, state agencies, BH CM team, and other departments
Maintains accurate and timely documentation in the medical management information system (Jiva) in keeping with contractual requirements, internal policy and accreditation standards.
Partners with department leadership and team members to organize staff assignments, prioritize and triage activities and calls.
Provide administrative support to the BH CM team.
Responsible for preparing department data/reports assigned by Management
Identifies opportunities for improvement in administrative workflows and processes
Performs other associated tasks as assigned by Manager/Supervisor
Supervision Exercised:
- N/A
Supervision Received:
- Weekly and on-going from Manager/Supervisor of Care Management, BH
Qualifications:
Education Required:
Associate’s degree required in health care or a related area
Bachelor’s degree in psychology, social work, or related area (preferred)
Experience Required:
- Experience in either a high-volume customer service call center, data entry office, or health care office administration department
Preferred/Desirable:
Prior customer service/call center experience
Prior work with Medicaid population preferred
Bilingual
Certification or Conditions of Employment:
- Pre-employment background check
Competencies, Skills, and Attributes:
Strong motivational interviewing skills;
Ability to engage members
Strong oral and written communication skills
Detail oriented
Ability to work independently but also in a team setting
Ability to effectively collaborate with health care providers and all members of the interdisciplinary team
Demonstrated strong organizational and time management skills
Demonstrated ability to successfully prioritize, plan, organize and manage multiple tasks in a face-paced environment
Intermediate skill level with Microsoft Office products – Outlook, Word, Excel
Knowledge of medical terminology strongly preferred
Working Conditions and Physical Effort:
Fast paced environment
No or very limited exposure to physical risk.
No or very limited physical effort required
Regular and reliable attendance is an essential function of the position
Travel within the plan geographic area required
Work will be performed at home and or the corporate office work.
About WellSense
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees
Apply now (https://jobs.silkroad.com/BMCHP/Careers/Apply/MultiForm/294316)
Important info on employment offer scams:
According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not reach out to individuals via text, we do not ask or require downloads of any applications, or “apps”, and applicant screenings, interviews and job offers are not conducted over text messages or social media platforms. We do not ask individuals to purchase equipment for, or prior to employment. To avoid becoming a victim of an employment offer scam, please followthese tips from the FTC (https://consumer.ftc.gov/consumer-alerts/2023/01/looking-job-scammers-might-be-looking-you?utm_source=govdelivery) .