Member Outreach Specialist

Location: Laguna Woods, CA
Date Posted: 11-01-2018
Member Outreach Specialist - Managed Care
Job Type:  Full Time, CONTRACT-TO-HIRE
Laguna Woods (South Orange County)

About the Job:
CareNational, a leading healthcare talent organization, is currently looking for multiple Member Outreach Specialist for an expanding third-party administrator working on behalf of national and local health plans, to work full-time, on a Contract-To-Hire basis out of their corporate offices in Orange County, CA.
You will be responsible for telephonic patient/member outreach as well as in-person reception activities and activities to support patient outreach and engagement.  You will primarily members via telephone in a friendly, supportive and professional manner.
Member Outreach Specialist Job Summary:  
  • Assist the health plan in improving overall population health through community outreach
  • Educate members on health care benefits 
  • Assist members with activities related to accessing care
  • Document information and activities in applicable systems
  • Conduct targeted phone calls for compliance, HEDIS initiatives and health risk assessments
  • Follow-up with appropriate parties on status of high risk member referrals
  • Assist in finding and connecting members to community social services and agencies
Member Outreach Specialist Background Profile:
  • Requires an education level of at least a high school diploma or GED.
  • Requires around 6 months to 1 year of experience in a patient-oriented healthcare position.
  • At least 1 years of customer service, community outreach, or health education experience, including appointment scheduling experience.
  • Certified Nursing Assistant (CNA) or Medical Assistant (MA) background is highly preferred.
  • Basic familiarity with managed care and medical terminology is required.
  • Knowledge of health care delivery system, Medicaid/Medicare and related state programs is a significant plus.
  • Computer skills to include Microsoft Word, Excel and basic data entry, including the ability to learn new and complex computer system applications.
  • Bilingual English and Spanish speakers are always a plus!
Member Outreach Specialist Benefits: 
Contract workers through CareNational have the option to gain a comprehensive benefits plans that include Medical, Dental, Vision, and more! 
We are an equal opportunity employer and value diversity in our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

480.425.2451 (CALL – TEXT – FAX)
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