Social Worker Assistant II

Jobtailor; Wilmington (DE); On-site; USD 42,000 - 61,000; Full time

Job summary

Jobtailor in Delaware seeks a detail-oriented Care Coordinator/Administrative Support to assist the clinical team with care coordination for a defined population. You will handle administrative tasks, enroll members in programs, route cases to Care Coordinators, and communicate with members, caregivers, and providers to support quality care.

The role requires a Health Science Certification or related Associate degree, plus two years of office experience, strong organizational and communication

Qualifications

• Health Science Certification or Associate degree in a health care related field is required.
• Two years of experience in an office environment is required.
• Knowledge of medical terminology and proficiency with computer software applications are essential.

Responsibilities

• Support the daily operations of the Virtual Hub by providing program interventions for identified at-risk members under clinical team direction.
• Provide administrative support to a clinical team responsible for a defined population of members/beneficiaries
• Process and triage member, caregiver, provider, internal, and external customer calls in a call center environment
• Handle inbound and outbound calls and transactions supporting clinical staff and assigned teams
• Assist with member enrollment in care management programs
• Create, update, maintain, and close tasks; route cases to appropriate Care Coordinators
• Collaborate with members, caregivers, physicians, staff, and health care professionals to provide care coordination
• Implement program interventions, document activities, assist with authorizations, make follow-up calls, and send educational materials and letters
• Help members and caregivers resolve problems and reduce barriers to care
• Identify community-resource gaps and communicate them to the Care Coordinator
• Identify members with Care Gaps/HEDIS-related conditions and assist with scheduling and community-resource referrals
• Reinforce prescribed treatment plans, goals, and strategies to overcome barriers
• Enter timely and accurate data into Care Management applications
• Facilitate access to entitlement programs and community resources
• Attend educational offerings and maintain knowledge of technology, disease self-management protocols, and community resources
• Perform other related duties assigned by clinical staff, Supervisor, Manager, or Director

Skills

Health awareness

Care Coordination

Customer Service Skills

Data Entry Proficiency

Medical Terminology Knowledge

Education

Health Science Certification

Associate Degree in Health Care Related Field

Tools

Windows-based Environment

Word Processing Software

Spreadsheet Applications

Database Programs

Job description

• Support the daily operations of the Virtual Hub by providing program interventions for identified at-risk members under clinical team direction
• Provide administrative support to a clinical team responsible for a defined population of members/beneficiaries
• Process and triage member, caregiver, provider, internal, and external customer calls in a call center environment
• Handle inbound and outbound calls and transactions supporting clinical staff and assigned teams
• Assist with member enrollment in care management programs
• Create, update, maintain, and close tasks; route cases to appropriate Care Coordinators
• Collaborate with members, caregivers, physicians, staff, and health care professionals to provide care coordination
• Implement program interventions, document activities, assist with authorizations, make follow-up calls, and send educational materials and letters
• Help members and caregivers resolve problems and reduce barriers to care
• Identify community-resource gaps and communicate them to the Care Coordinator
• Identify members with Care Gaps/HEDIS-related conditions and assist with scheduling and community-resource referrals
• Reinforce prescribed treatment plans, goals, and strategies to overcome barriers
• Enter timely and accurate data into Care Management applications
• Facilitate access to entitlement programs and community resources
• Attend educational offerings and maintain knowledge of technology, disease self-management protocols, and community resources
• Perform other related duties assigned by clinical staff, Supervisor, Manager, or Director

Requirements

• Health Science Certification or Associate degree in a health care related field required
• Bachelor’s degree preferred
• Two years of experience working in an office environment required
• Strong organization skills
• Excellent customer service and interpersonal skills on phone and in-person
• Ability to handle multiple tasks simultaneously
• Ability to maintain confidentiality of all company and member information
• Knowledge of medical terminology
• Proficiency working with computers and various computer software applications
• Proficient PC skills in a Windows-based environment, including word processing, spreadsheets, and database programs
• Ability to work Monday through Friday, 8:00 a.m. to 4:30 p.m.

Core Competencies

Demonstrates expertise in care coordination, member enrollment, and administrative support within a clinical environment. Proficient in managing member interactions, data entry, and utilizing community resources to enhance patient care.

Highest-signal resume keywords

• Health Science Certification
• Care Coordination
• Customer Service Skills
• Medical Terminology Knowledge
• Data Entry Proficiency

Hard Skills

• Care Management Applications
• Task Management
• Community Resource Referrals
• HEDIS-related Conditions Identification
• Program Interventions Implementation

Soft Skills

• Strong Organization Skills
• Interpersonal Skills
• Ability to Handle Multiple Tasks
• Confidentiality Maintenance

Certifications & Qualifications

• Health Science Certification
• Associate Degree in Health Care Related Field

Industry Keywords

• Clinical Team Support
• Care Management Programs
• Member Enrollment
• Community Resources
• Entitlement Programs

Tools & Technologies

• Windows-based Environment
• Word Processing Software
• Spreadsheet Applications
• Database Programs