Job Description : Title : Care Worker

Title : Care Worker

Location : Remote

Duration : 6 months

Shift : 1st shift M-F

Pay Rate : $20 / hr. on W2

Responsibilities / Description

Make outbound calls to various providers in California, coordinate with members and provide scheduling assistance.

Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.

Troubleshoots when an appropriate provider, type of service, or appropriate level of care cannot be readily found.

Has current knowledge or research availability of community resources and services and link members to appropriate services.

May assist in transitions in care for hospitalized patients and makes appropriate placements, if needed.

Assumes responsibility for self-development and career progression.

Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role.

Assists in the mentoring and training of new Care Workers.

Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.

Coordinates and manages distribution of correspondence and materials to enrolees and providers.

Participates in operational activities, including data collection, tracking, and analysis.

RESPONSIBILITIES :

Experience in a managed care environment, integrated medical and behavioral health care and / or training in chronic pain management.

Understanding of plan benefit structures, psychiatric / medical terminology, and local communication resources.

For roles supporting the Chronic Pain Management SBU, understanding of Chronic Pain Management guidelines and workflows is also required.

WORK EXPERIENCE : Managed Care EDUCATION : Associates (Preferred)

Employee Benefits :

At LanceSoft, full time regular employees who work a minimum of 30 hours a week or more are entitled to the following benefits :

Four options of medical Insurance

Dental and Vision Insurance

401k Contributions

Critical Illness Insurance

Voluntary Permanent Life Insurance

Accident Insurance

Other Employee Perks

EEO information

Last updated : 2024-08-12