What are the responsibilities and job description for the Care Worker position at Careers Integrated Resources Inc?
Top 3 Must-Haves (Hard and/or soft Skills):
Responsibilities:
- Computer skills
- Detail oriented
- Experience with Microsoft Outlook and Microsoft Office
- TruCare experience
- Minimum 3 years of experience.
- 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 enrollees 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.
- Managed Care
- Associates (Preferred) or HSD
