Remote Member Support & Care Coordination Specialist

PacificSource; Springfield (OR); On-site; USD 36,000 - 57,000; Full time

Benefits offered by this job

Flexible telecommute policy

medical

vision, and dental insurance

incentive program

paid time off and holidays

401(k) plan

volunteer opportunities

tuition reimbursement and training

life insurance

flexible spending account

Job summary

PacificSource is seeking a Member Support Specialist to join our case management team. The role involves telephonic and in-person support to help members overcome barriers to adherence and achieve better health outcomes through navigation of benefits and community resources.

Responsibilities include coordinating care with case managers, educating members about benefits, and maintaining compliant documentation. Travel up to 20% may be required in this field.

Qualifications

• High school diploma or equivalent required; knowledge of medical terminology.
• Proficient in Microsoft Office; familiarity with medical management software such as CaseTrakker Dynamo.
• Excellent verbal and written communication; ability to work independently and in a team.

Responsibilities

• Develop and implement goals with the case manager to help members navigate the healthcare system.
• Educate members on benefit structures and how to use their coverage.
• Utilize motivational interviewing to support adherence to medical regimens.
• Identify community resources and make referrals to members as appropriate.
• Serve as liaison between members and providers/agencies; ensure HIPAA compliance and accurate documentation.

Skills

Accountability

Collaboration

Communication

Flexibility

Listening

Organizational skills/Planning

Problem Solving

Teamwork

Education

High school diploma or equivalent

Tools

CaseTrakker Dynamo

Microsoft Office (Word, Excel, PowerPoint)

Job description

PacificSource is seeking a Member Support Specialist to join our case management team. The role involves telephonic and in-person support to help members overcome barriers to adherence and achieve better health outcomes through navigation of benefits and community resources.

Responsibilities include coordinating care with case managers, educating members about benefits, and maintaining compliant documentation. Travel up to 20% may be required in this field.