Member Services & Care Coordination Specialist

PacificSource; Bend (OR); In loco; USD 36.000 - 57.000; Tempo pieno

Descrizione del lavoro

PacificSource is seeking a care coordination-focused professional to help members navigate the healthcare system and maximize benefit usage. You will educate members, coordinate with case managers, and connect them with community resources, while maintaining HIPAA compliance.

The role emphasizes collaboration, documentation accuracy, and the ability to work with diverse teams to improve member outcomes across the health plan.

Competenze

• High school diploma or equivalent required.
• Minimum three years in community services or healthcare coordination.
• Experience in health insurance and delivering group presentations preferred.
• Proficient in medical terminology and documentation.

Mansioni

• Coordinate with the member's case manager to develop goals and plans for navigating healthcare.
• Educate members on benefit structures and plan parameters.
• Use motivational interviewing to support healthy outcomes and benefit utilization.
• Identify community resources and provide referrals as appropriate.
• Serve as liaison between members and providers or agencies.
• Assist with referrals, scheduling, and transportation to medical appointments.
• Ensure HIPAA compliance and maintain accurate documentation.
• Participate in case management meetings and contribute to quality improvement.

Conoscenze

Communication

Teamwork

Problem Solving

Organization

Active Listening

Formazione

High School Diploma

Strumenti

Microsoft Office

CaseTrakker Dynamo

Descrizione del lavoro

PacificSource is seeking a care coordination-focused professional to help members navigate the healthcare system and maximize benefit usage. You will educate members, coordinate with case managers, and connect them with community resources, while maintaining HIPAA compliance.

The role emphasizes collaboration, documentation accuracy, and the ability to work with diverse teams to improve member outcomes across the health plan.