Member Care & Coordination Specialist II

PacificSource; United States; Remote; USD 36,000 - 57,000; Full time

Job summary

PacificSource is seeking a Member Support Specialist to join the case management team. You will work telephonically and in person to help members overcome barriers to adherence and health outcomes.

Responsibilities include coordinating referrals, educating on benefits, and engaging with providers and community resources. The role requires at least three years in community services or healthcare coordination, proficiency with Microsoft Office, and strong communication skills.

Qualifications

• Minimum three years of experience in community services or healthcare agencies focused on coordination services.
• Experience in health insurance and delivering group presentations preferred.
• High school diploma or equivalent required.

Responsibilities

• Develop and implement goals and plans to help members navigate the healthcare system.
• Educate members on benefit structures and plan parameters.
• Use motivational interviewing to support adherence and outcomes.
• Identify community resources and make referrals to members as appropriate.
• Serve as liaison between members and providers/agencies.
• Coordinate case management referrals using data and reports.
• Ensure HIPAA compliance and accurate documentation.

Skills

Communication skills

Teamwork

Organizational skills

Problem solving

Listening

Education

High school diploma

Tools

Microsoft Office

CaseTrakker Dynamo

Job description

PacificSource is seeking a Member Support Specialist to join the case management team. You will work telephonically and in person to help members overcome barriers to adherence and health outcomes.

Responsibilities include coordinating referrals, educating on benefits, and engaging with providers and community resources. The role requires at least three years in community services or healthcare coordination, proficiency with Microsoft Office, and strong communication skills.