Care Connector - Foster Care Program SC - AmeriHealth Caritas Family of Companies : Job Details

The Care Connector is responsible for supporting the daily operations of integrated care management and utilization management program interventions. The Care Connector performs in a contact center environment, effectively processing calls from Members, Providers and other areas, internal and external to the company. The CC identifies members with Care Gaps/ HEDIS related health conditions and assists them in accessing care through Plan benefits and community resources. Under the direction of Clinical staff, the Care Connector will provide members with educational materials and carry out strategies to increase health care adherence and reduce barriers to care. Education/ Experience: High School Diploma or GED required. Minimum of 2 years of previous work experience in a health care environment, preferably in pediatrics. Prior behavioral health experience preferred. Prior member service or customer service telephone experience desired, preferably within a managed care organization. Medi...Program, Behavioral Health, Healthcare, Support