Member Care Coordinator (Albuquerque, NM)

Health Care Service Corporation; Albuquerque (NM); Remote; Full time

Job summary

Join a purpose-driven organization that values its employees and fosters their growth! In this remote role, you will engage with members to educate them about health care programs and assist them in adhering to their personal health plans. Your expertise in communication and customer service will play a vital role in supporting members' needs and collaborating with clinicians. This is a fantastic opportunity to make a meaningful impact in the health care sector while enjoying the flexibility of telecommuting. If you are passionate about helping others and have a background in social work or nursing, we invite you to apply and grow with us.

Qualifications

• Bachelor's degree or equivalent experience in managed care required.
• Proficiency in Microsoft Office and customer service skills essential.

Responsibilities

• Contact members to inform them about health care programs.
• Assist members with their medical-related needs and inquiries.

Skills

Customer service skills

Verbal communication skills

Written communication skills

Motivational interviewing

Knowledge of medical terminology

Education

Bachelor of Social Work

Bachelor of Psychology

LVN/LPN with 1 year experience

RN

3 years care coordination experience

Tools

Microsoft Office

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This position is responsible for contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities.

JOB REQUIREMENTS:

• Bachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR 3 years care coordination for a state managed or waiver program OR 3 years managed care systems experience.
• Knowledge of medical terminology
• Experience coordinating member medical related needs, providing assistance to members, and analyzing member needs
• PC proficiency including Microsoft Office applications
• Customer service skills
• Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issues

This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.

Compensation: $19.65 - $43.74

Exact compensation may vary based on skills, experience, and location.

HCSC Employment Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards