Job Summary:The Field Operations Specialist is responsible for conducting and coordinating home visits for the care management team, and responsible for the clerical, administrative, customer service and coordination of activities to support care management.
Essential Functions:- Schedule and travel to membersā homes to conduct in-home care management visits.
- Support the provision of care plans by assisting Nurse Care Managers with member interactions and take authorizations from Nurse Care Manager for processing.
- Answer incoming calls, place outgoing calls as requested and/or review member care management survey results identifying issues requiring follow-up.
- Coordinate services, take requests for services, assist Nurse Care Manager in placing authorized services and speaking to members.
- Assist members in navigating the Health Plans process by phone and in person visits.
- Establish and maintain relationships acting as the liaison among members, clinical staff and external entities.
- Perform any other job related duties as requested.
Education and Experience:- High School or GED required
- Associates degree preferred
- Medical terminology experience is strongly preferred
- Experience using multiple languages in a professional capacity required
Competencies, Knowledge and Skills:- Proficient in Microsoft Office Suite to include Word, Excel and PowerPoint
- Fluency (speaking, reading, writing) in English and Spanish
- Strong written and verbal communication skills
- Effective listening and critical thinking skills
- Strong interpersonal skills and high level of professionalism
- Ability to define problems, collect information and establish facts
- Ability to work independently and within a team environment
- Ability to develop, prioritize and accomplish goals
- Knowledge of applicable Federal, State and Local regulations as it applied to required job functions
Licensure and Certification: - Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driverās license record check. If the driverās license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated
- To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 ā March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
- CareSource adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
Working Conditions:- General office environment; may be required to sit or stand for extended periods of time
- Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time. Required to use general office equipment, such as a telephone, photocopier, fax machine, and computer.
- Up to 50% (frequent) travel may be required to travel to different locations, including homes, offices, or other public settings, to perform work duties
Compensation Range:
$41,200.00 - $66,000.00
CareSource takes into consideration a combination of a candidateās education, training, and experience as well as the positionās 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 employeeās total well-being and offer a substantial and comprehensive total rewards package.
Compensation Type (hourly/salary):
Hourly
Organization Level Competencies
Ā
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.