Direct Employer
This ground-breaking program supports the health care system’s sickest patients in their homes under the direction of their primary care provider. Our multi-disciplinary team creates strong relationships with patients through a state of the art remote monitoring kit, weekly touch points and consistent implementation of their care plan. When enrolled in the program, patients receive a tablet device, blood pressure cuff, pulse oximeter and weight scale. Using advanced analytics, biometric monitoring and interactive technologies, our team proactively monitors and engages chronically ill patients and provides them with individualized care that keeps them healthier and out of the hospital.
Direct Employer
This position will act as part of the dual eligible member's care team at the state level responsible for integrating and coordinating care to meet the uniquely complex healthcare needs of our DSNP members. This position will assist our dually eligible members with maintaining Medicaid and LIS eligibility and obtaining other Medicaid entitlements available to them. They will be responsible for monitoring member statuses and reporting results to management. The employee must be able to work alongside other DSNP care team members including social workers, care managers and care coordinators to provide the member experience by: • Educating and assisting members on various elements of Medicaid entitlements, benefit plan information and available services created to enhance the overall member experience with the company. • Utilize all relevant information to effectively influence member engagement. • Initiating contact with members who have lost Medicaid eligibility and fall into DSNP grace period to obtain Medicaid and LIS certification. • Assist members with finding resources to help them reapply if necessary. • Coordinating annual reminders for members at risk of losing LIS, Medicaid or DSNP eligibility. • Taking ownership of each customer contact to anticipate customer needs, resolve their issues and connect them with additional services as appropriate. • Identifying member needs beyond the initial inquiry by answering the unasked questions and asking probing questions to identify member needs.
Direct Employer
This position will act as part of the dual eligible member's care team at the state level responsible for integrating and coordinating care to meet the uniquely complex healthcare needs of our DSNP members. This position will assist our dually eligible members with maintaining Medicaid and LIS eligibility and obtaining other Medicaid entitlements available to them. They will be responsible for monitoring member statuses and reporting results to management. The employee must be able to work alongside other DSNP care team members including social workers, care managers and care coordinators to provide the member experience by: • Educating and assisting members on various elements of Medicaid entitlements, benefit plan information and available services created to enhance the overall member experience with the company. • Utilize all relevant information to effectively influence member engagement. • Initiating contact with members who have lost Medicaid eligibility and fall into DSNP grace period to obtain Medicaid and LIS certification. • Assist members with finding resources to help them reapply if necessary. • Coordinating annual reminders for members at risk of losing LIS, Medicaid or DSNP eligibility. • Taking ownership of each customer contact to anticipate customer needs, resolve their issues and connect them with additional services as appropriate. • Identifying member needs beyond the initial inquiry by answering the unasked questions and asking probing questions to identify member needs.
Direct Employer
This position will act as part of the dual eligible member's care team at the state level responsible for integrating and coordinating care to meet the uniquely complex healthcare needs of our DSNP members. This position will assist our dually eligible members with maintaining Medicaid and LIS eligibility and obtaining other Medicaid entitlements available to them. They will be responsible for monitoring member statuses and reporting results to management. The employee must be able to work alongside other DSNP care team members including social workers, care managers and care coordinators to provide the member experience by: • Educating and assisting members on various elements of Medicaid entitlements, benefit plan information and available services created to enhance the overall member experience with the company. • Utilize all relevant information to effectively influence member engagement. • Initiating contact with members who have lost Medicaid eligibility and fall into DSNP grace period to obtain Medicaid and LIS certification. • Assist members with finding resources to help them reapply if necessary. • Coordinating annual reminders for members at risk of losing LIS, Medicaid or DSNP eligibility. • Taking ownership of each customer contact to anticipate customer needs, resolve their issues and connect them with additional services as appropriate. • Identifying member needs beyond the initial inquiry by answering the unasked questions and asking probing questions to identify member needs.
Direct Employer
This position will act as part of the dual eligible member's care team at the state level responsible for integrating and coordinating care to meet the uniquely complex healthcare needs of our DSNP members. This position will assist our dually eligible members with maintaining Medicaid and LIS eligibility and obtaining other Medicaid entitlements available to them. They will be responsible for monitoring member statuses and reporting results to management. The employee must be able to work alongside other DSNP care team members including social workers, care managers and care coordinators to provide the member experience by: • Educating and assisting members on various elements of Medicaid entitlements, benefit plan information and available services created to enhance the overall member experience with the company. • Utilize all relevant information to effectively influence member engagement. • Initiating contact with members who have lost Medicaid eligibility and fall into DSNP grace period to obtain Medicaid and LIS certification. • Assist members with finding resources to help them reapply if necessary. • Coordinating annual reminders for members at risk of losing LIS, Medicaid or DSNP eligibility. • Taking ownership of each customer contact to anticipate customer needs, resolve their issues and connect them with additional services as appropriate. • Identifying member needs beyond the initial inquiry by answering the unasked questions and asking probing questions to identify member needs.
Direct Employer
This position will act as part of the dual eligible member's care team at the state level responsible for integrating and coordinating care to meet the uniquely complex healthcare needs of our DSNP members. This position will assist our dually eligible members with maintaining Medicaid and LIS eligibility and obtaining other Medicaid entitlements available to them. They will be responsible for monitoring member statuses and reporting results to management. The employee must be able to work alongside other DSNP care team members including social workers, care managers and care coordinators to provide the member experience by: • Educating and assisting members on various elements of Medicaid entitlements, benefit plan information and available services created to enhance the overall member experience with the company. • Utilize all relevant information to effectively influence member engagement. • Initiating contact with members who have lost Medicaid eligibility and fall into DSNP grace period to obtain Medicaid and LIS certification. • Assist members with finding resources to help them reapply if necessary. • Coordinating annual reminders for members at risk of losing LIS, Medicaid or DSNP eligibility. • Taking ownership of each customer contact to anticipate customer needs, resolve their issues and connect them with additional services as appropriate. • Identifying member needs beyond the initial inquiry by answering the unasked questions and asking probing questions to identify member needs.
Direct Employer
This position will act as part of the dual eligible member's care team at the state level responsible for integrating and coordinating care to meet the uniquely complex healthcare needs of our DSNP members. This position will assist our dually eligible members with maintaining Medicaid and LIS eligibility and obtaining other Medicaid entitlements available to them. They will be responsible for monitoring member statuses and reporting results to management. The employee must be able to work alongside other DSNP care team members including social workers, care managers and care coordinators to provide the member experience by: • Educating and assisting members on various elements of Medicaid entitlements, benefit plan information and available services created to enhance the overall member experience with the company. • Utilize all relevant information to effectively influence member engagement. • Initiating contact with members who have lost Medicaid eligibility and fall into DSNP grace period to obtain Medicaid and LIS certification. • Assist members with finding resources to help them reapply if necessary. • Coordinating annual reminders for members at risk of losing LIS, Medicaid or DSNP eligibility. • Taking ownership of each customer contact to anticipate customer needs, resolve their issues and connect them with additional services as appropriate. • Identifying member needs beyond the initial inquiry by answering the unasked questions and asking probing questions to identify member needs.
Direct Employer
This position will act as part of the dual eligible member's care team at the state level responsible for integrating and coordinating care to meet the uniquely complex healthcare needs of our DSNP members. This position will assist our dually eligible members with maintaining Medicaid and LIS eligibility and obtaining other Medicaid entitlements available to them. They will be responsible for monitoring member statuses and reporting results to management. The employee must be able to work alongside other DSNP care team members including social workers, care managers and care coordinators to provide the member experience by: • Educating and assisting members on various elements of Medicaid entitlements, benefit plan information and available services created to enhance the overall member experience with the company. • Utilize all relevant information to effectively influence member engagement. • Initiating contact with members who have lost Medicaid eligibility and fall into DSNP grace period to obtain Medicaid and LIS certification. • Assist members with finding resources to help them reapply if necessary. • Coordinating annual reminders for members at risk of losing LIS, Medicaid or DSNP eligibility. • Taking ownership of each customer contact to anticipate customer needs, resolve their issues and connect them with additional services as appropriate. • Identifying member needs beyond the initial inquiry by answering the unasked questions and asking probing questions to identify member needs
Direct Employer
Registered Nurse needed for the EAMC call center. This position will provide guidance to community members on when and where to seek care for COVID-19. Must be able to answer questions and provide advice and direction on seeking care. Must be able to provide resources for those with questions. Will work with a team to provide guidance. Must provide information and required documentation as required by law and EAMC procedures.Qualified Applicant Must AlsoDemonstrates the required knowledge and technical skills to respond to health questions.Interpersonal and communication skills to interact effectively with callers and employees.Ability to identify potential crisis situations involving callers and to initiate appropriate actionAbility to adapt to changing guidance and consistently apply algorithmsRequirements; Valid AL Nurses License as Registered Nurse. 1-3 year's experience as a Registered Nurse.