Member Health Assessor

CareSource; Kentucky; On-site; USD 36,000 - 57,000; Full time

Job summary

CareSource is seeking a Member Health Assessor in Kentucky to build professional relationships with members and conduct comprehensive health risk assessments.

This role supports Integrated Care Coordination, verifies eligibility, gathers information from members, families, and providers, and contributes to developing care plans with the care team.

Qualifications

• Experience coordinating services for at-risk populations.
• Ability to work independently and within a team.
• Strong communication and interpersonal skills.
• Knowledge of local, state and federal healthcare regulations.
• Commitment to confidentiality and compassionate care.

Responsibilities

• Participate in the Integrated Care Coordination Team as needed.
• Coordinate logistics to support care plan goals and interventions.
• Verify eligibility and demographics prior to outreach.
• Conduct assessments gathering information from member, family, provider.
• Contribute to care plan development and reporting per assessment outcomes.
• Assist with health education and coaching when appropriate.
• Maintain documentation within Care Management protocols.
• Begin interventions with empathetic, member-centered questions.
• Identify process improvements to streamline assessments.
• Perform other duties as requested.

Skills

Coordination of care

Communication

Interpersonal skills

Cultural sensitivity

Independent and team work

Problem solving

Confidentiality

Empathy

Organizational skills

Attention to detail

Education

High School Diploma or GED

Tools

Microsoft Office

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

Licensure And Certification

• None

Working Conditions

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

$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.

Hourly

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

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.