Member Health Assessor

CareSource; Dayton (OH); Hybrid; USD 49,000 - 79,000; Full time

Job summary

CareSource is seeking a Member Health Assessor in Dayton, OH to establish strong, professional relationships with members and conduct health risk assessments. The role involves coordinating care plans, gathering information from members, families and providers, and reporting outcomes to the Care Coordinator to drive effective interventions.

The position requires at least a high school diploma or GED and a minimum of two years of experience coordinating services for at-risk populations.

Qualifications

• High School Diploma or GED required.
• Minimum of two years experience coordinating services for at-risk populations.
• Ability to work in a fast-paced environment and with diverse populations.

Responsibilities

• Establish professional relationships with members and conduct health risk assessments.
• Coordinate logistics to support care plan goals and interventions.
• Verify eligibility, enrollment history, demographics, and health status prior to outreach.
• Gather information from member, family, provider, and other stakeholders as directed.
• Contribute to care plan development and report outcomes to the Care Coordinator.
• Assist with health education, wellness materials and coaching as appropriate.
• Maintain documentation per Care Management protocols.
• Identify process improvements to streamline assessments and follow-up.
• Share compassionate support with members and families.
• Work both independently and in teams to achieve goals.
• Adhere to confidentiality and company policies.

Skills

Microsoft Office

Cross-cultural sensitivity

Interpersonal skills

Independent and team work

Problem identification

Healthcare regulations knowledge

Empathy and compassion

Process improvement

Confidentiality

Education

High School Diploma or GED

Job description

Job Summary

The Member Health Assessor engages with the member to establish an effective, professional relationship with primary responsibility to conduct their health risk assessment.

Essential Functions

Participate in the Integrated Care Coordination Team as needed Coordinate logistics to support care plan goals and interventions – as needed to address immediate member concerns Verify eligibility, previous enrollment history, demographics and current health status of each member prior to outreach Conduct assessments by gathering information from the member, family, provider and other stakeholders, as directed by Member and/or their Legally authorized representative Contribute to the development and implementation of care plan, and reporting information to the Care Coordinator based on assessment outcomes, when needed Assist with the provision of health education, wellness materials and coaching ,as appropriate Maintain appropriate documentation within protocols and guidelines of the Care Management program Starts each intervention with members wondering, “What does the world look like for this person, and how can I meet him or her where they are? What are his or her unique needs, and how can CareSource help?” In each interaction, the employee will aspire to help the member to feel informed, empowered, and supported by CareSource Looks for ways to improve the process to make the members experience with CareSource easier and streamlines time to complete the assessment and follow-up Perform any other job duties as requested.

Education and Experience

High School Diploma or General Education Diploma (GED), is required Minimum of two (2) years of experience in either volunteer or paid position working in community settings with at risk populations providing coordination of services is preferred

Competencies, Knowledge and Skills

• Proficient with Microsoft Office, including Outlook, Word and Excel
• Sensitivity to and experience working within different cultures
• Good interpersonal skills
• Ability to work independently and within a team environment
• Ability to identify problems and opportunities and communicate to management
• Developing knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
• Demonstrate compassion, support and collaboration with members and families
• Self-motivated and inquisitive
• Comfort with asking pertinent questions
• Ability to work in a fast-paced environment
• Ability to demonstrate and promote ethical conduct
• Ability to develop positive relationships with all stakeholders
• Awareness of community & state support resources
• Organized , detail-oriented and conflict resolution skills
• Ability to keep composure and professionalism during times of high emotional stress
• Ability to maintain confidentiality and act in the company’s best interest
• Proven track record of demonstrating empathy and compassion for individuals
• Proven track record for improving processes to make things easier for those you have served

Organization Level Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

Working Conditions

General office environment; may be required to sit or stand for extended periods of time

Compensation Range

$35,900.00 - $57,300.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type

Hourly

Additional Information

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time.

Equal Opportunity Employer

CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

Brand

#LI-JS1 Brand=CareSource

Mission

The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative solutions that make our community and the world just a little better. Discover what it means to be #UniquelyCareSource.