The successful candidate supports the daily operations of CareVio by providing select program interventions in accordance with established care management program guidelines for identified at risk members under the direction of a member of the clinical team. Provide administrative to a clinical team responsible for a defined population of members/beneficiaries .
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Performs in a call center environment appropriately processing or triaging calls from members, caregivers, providers, internal and external customers
Handles in/outbound calls and transactions directly supporting clinical staff and assigned teams in accordance with metric and performance requirements
Assists in the enrollment of members in a care management program according to established program guidelines
Creates updates, maintains and/or closes tasks as assigned within process guidelines. Routes case to appropriate Care Coordinator based on established guidelines
Collaborates with the members, care givers, physicians, staff, and other health care professionals across the continuum to provide care coordination at the direction of the Care Coordinator include but not limited to: implementing programs interventions, documenting activities, assisting providers in obtaining authorization, making follow up calls and sending out educational materials and letters
Identifies problems or gaps in community resources that impact outcomes, care or utilization of services and communicates problems or gaps to the Care Coordinator
EDUCATION AND EXPERIENCE REQUIREMENTS:
Associate degree in a health care related field required; bachelors degree preferred;
Knowledge of medical terminology
Proficiency working with computers and various computer software applications..
Internal Number: JR57679
About ChristianaCare Health System
ChristianaCare Health System is headquartered in Wilmington, Delaware and is one of the country's largest health care providers, ranking 21st in the nation for hospital admissions. Christiana Care is proudly a Nurse Magnet recognized institution. Christiana Care Health System is also one of the largest health care providers in the mid-Atlantic region, serving all of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. A not-for-profit, non-sectarian health system, Christiana Care includes two hospitals with more than 1,100 patient beds, and is a major teaching hospital with two campuses. Christiana Care is continually recognized for excellence on a regional and national level. Our role in the community is expressed in the Christiana Care Way: "We serve our neighbors as respectful, expert, caring partners in their health. We do this by creating innovative, effective, affordable systems of care that our neighbors value."Christiana Care is a great place to work because we value diversity and recognize it to be a core part of our success. Because of the diversity of our employees, affiliated health professionals and volunteers, we are ...positioned to meet the unique needs of our patients and community. We acknowledge and celebrate the uniqueness and talent of each employee. Because of our talented workforce we are able to provide a quality healthcare experience to our patients and community. We strive to create an inclusive environment in which individual diversity can be leveraged and thrive. Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.