Astyra Corporation
Delivering smart solutions with an eye on People, Process, and Technology Our team is comprised of individuals rich with recruiting experience, technology knowledge, and customer service. Dedicated to their community, clients and associates, these individuals have a common mantra: “We will make it happen, deliver on our promises and manage every detail along the way.” Our internal slogan of P.R.I.D.E. (Putting Remarkable Into Daily Efforts) is our driving focus. Our skilled associates, led by this team of professionals, enable organizations to achieve their business and personnel needs both quickly and cost effectively.
*Location: Must live in the State of Oregon *Work Schedule: Must have flexibility to work a shift between the hours of 7:00 AM to 7:00 PM Pacific Time, Monday through Friday. Job Summary: Provides field or telephonic care coordination outreach activities to support care management program delivery to plan Enrollees to support healthy lifestyle choices & to reduce short- and long-term effects of chronic illnesses.
Required Qualifications/Experience: Associate’s degree in health-related field and/or medical assistant training or higher Minimum 4 years of experience in care coordination Minimum 2 years of recent experience in clinical environment Minimum 1 year of telephonic outreach or call center experience Preferred Qualifications/Experience: Public sector experience, e.g. Commercial / Medicare / Medicaid Knowledge of medical terminology Ability to efficiently work telephonically while completing system inputs Bilingual Knowledge of customer service principles Strong written and verbal communication skills Strong computer skills (e.g., care management applications, Internet/Web, Microsoft Office [Word, Excel]) Strong prioritization and organizational skills Ability to receive verbal and written feedback in a professional manner and implement performance and productivity improvements as needed Ability to interpret real-time and historical information to inform and assist members concurrently Knowledge of regulatory and accreditation standards
Conducts general assessments for supervisor/lead interpretation/evaluation and assignment Participates in the interdisciplinary case reviews for collaborative assessment and coordination planning to ensure quality care Proactively engages in delivery of quality management program activities that are the direct responsibility of the Health Services team Assists in the achievement and ongoing maintenance of accreditations for defined programs Assists Lead, Supervisor and/or Manager in ensuring achievement of contractual financial obligations, including service delivery in a cost effective and efficient manner and through support of budgetary adherence by reporting accurate and timely work hours and expenses incurred during course of position duties Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules The above list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time. *This role is remote within the State of Oregon and may require up to 5-10% travel to provider sites within the state depending on business needs.
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