Care Connector

Integrated Resources Inc.; Des Moines (IA); On-site; USD 36,000 - 52,000; Full time

Job summary

A leading staffing firm in Des Moines is seeking a Care Connector to support integrated care management and utilization management. Successful candidates will have customer service experience and a high school diploma. This role involves processing calls and assisting members in accessing care. Join a reputable firm focused on delivering quality services.

Qualifications

• High School Diploma or GED is required.
• 1 year of customer service experience on phone and in-person is required.
• Proficient PC skills in a Windows-based environment including word processing, spreadsheets and working in database programs.
• Working knowledge of Plan Benefits and Services is highly desired.
• Proven ability to keep accurate and timely records and documentation according to established processes.

Responsibilities

• Support daily operations of integrated care management.
• Process calls from members and providers in a contact center.
• Identify members with Care Gaps/HEDIS related health conditions.
• Under clinical supervision, provides educational materials and implements strategies to increase healthcare adherence and reduce barriers to care.

Skills

Customer service experience on phone and in-person

Proficient PC skills in a Windows based environment

Working knowledge of Plan Benefits and Services

Ability to keep accurate and timely records

Plan benefits knowledge (desirable)

Education

High School Diploma or GED

Job description

Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception in 1996. Our mission centers on delivering only the best quality talent, the first time and every time. We provide quality resources in four specialty areas: Information Technology (IT), Clinical Research, Rehabilitation Therapy and Nursing.

Job Description

Title: Care Connector

Location: Des Moines, IA

Responsibilities:

• The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions.
• The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers and other areas, internal and external to the company.
• The CC identifies members with Care Gaps/HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources.
• Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care.

Skills:

• High School Diploma or GED.
• Customer service experience on phone and in-person: Required 1 Year.
• Proficient PC skills in a Windows based environment including word processing, spreadsheets and working in database programs: Required.
• Working knowledge of Plan Benefits and Services: Highly desired.
• Proven ability to keep accurate and timely records and documentation according to established processes: Required.

If you are not interested in looking at new opportunities at this time I fully understand. I would in that case be appreciative of any referrals you could provide from your network of friends and colleagues in the industry. We do offer a referral bonus that I’d be happy to extend to you if they turn out to be a great fit for my client.

Thank you for your time and for consideration. I look forward to hearing from you.