In this role, the selected candidate will manage a core function within the Customer Service Department (Research or Direct Customer Contact); resolve complex customer issues that are beyond the scope of the Customer Service Sr. Resolution Specialist.
In this role, you will works closely with clinic management, revenue cycle, education, admitting, pre-access, and compliance to ensure appropriate standards are developed and administered at the clinic sites.
In this role, you will be responsible for the management, direct supervision and coordination of clinical and/or nonclinical management staff, including utilization management and intensive care management staff, providing expertise in designated programs.
In this role, you will meet and exceed business objectives when faced with an obstacle or a customer concern. The selected candidate will also develop and maintain positive, ethical customer relationships.
In this role, you will be responsible for partnering with the patient and family, the primary care provider, and other members of the care team to develop and implement an interdisciplinary plan of care.
In this role, the selected candidate will manage the tactical execution of short- and long-term objectives through the coordination of activities with a direct responsibility for results, including costs, methods, and staffing.
In this role, you will educate member on topics related to their chronic condition and the disease process; including all aspects of effective self-management (medication, diet and nutritional monitoring; foot care, prevention and care of complications; recommended screenings, blood glucose monitoring and the techniques of self monitoring and insulin injections).
In this role, the selected candidate will perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.