This job ad has been posted over 60 days ago...
0
applicants
Member Outreach Associate
at AMERIGROUP - New Mexico in New Mexico
Amerigroup is the largest publicly-traded health care company focused on serving and improving access to quality health care for Medicaid, Medicare, uninsured individuals and families, and persons with disabilities.
Amerigroup Community Care of New Mexico...Make a Difference....In your own community.
Join our enthusiastic quality team - bring your expertise and a high quality of care - to those who are part of Amerigroup's New Mexico Amerivantage Medicare Program.
JOB SUMMARY:
The Member Outreach Associate is responsible for providing support for Medicare quality initiatives and regulatory/contractual requirements. Support includes telephonic and in-person outreach to members who are identified as requiring outreach services. May provide assistance to quality management, and performance data collection and recording.
PRIMARY RESPONSIBILITIES:
1. Provide members with information on how to access preventive and health maintenance services while identifying barriers to care.
2. Support the implementation of quality improvement preventive health and chronic condition management interventions.
3. Track, trend, and report on Medicare established quality activities, monthly as assigned. Records and reports all provider outreach activity.
4. Promote and distribute educational materials and program information to members.
5. Assists members in making follow-up appointments with his/her Primary Care Physician (PCP) and/or Specialist as indicated by the HEDIS guidelines.
6. Provides telephone follow-up to ensure members have seen their PCP and completed or are in process of completing their treatment plan or preventive care services as defined by the PCP or guidelines
7. Promotes and supports the PCP relationship.
8. Refers issues and concerns about members to the Case Manager or Member Advocate as soon as identified.
9. Serve as a referral agent to internal services and external sources.
10. Assist in the maintenance of member registry database.
11. Performs other duties as assigned or requested.
EDUCATION AND EXPERIENCE:
Education Required:
High School diploma required with at least one year of experience in healthcare or managed care industry
Preferred: College degree or equivalent preferred.
Years and Type of Experience
Required: At least one+ year of experience; Some understanding of medical terminology.
Preferred: Experience in a health related service such as community outreach worker, home health aide, etc.
Specific Technical Skills
Required: Computer literacy in Excel and Word and Outlook.
Preferred: Access Database
Certifications or Licensure
Required: Valid Driver?s License and clean driving record
Preferred:
Other
Required:
- Good verbal communication skills.
- Professional telephone skills.
- Community awareness and knowledge.
- Appreciation of cultural diversity and sensitivity towards targeted populations.
- Must be organized and able to multi-task.
- Must be able to work independently.
- Must have excellent communication skills and the ability to communicate effectively with internal and external customers.
Preferred: Bilingual skills in Spanish a plus.
PHYSICAL REQUIREMENTS
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices.
- Ability to communicate both in person and/or by telephone.
- Must be able to travel as needed and adhere to AMERIGROUP travel policies and procedures.
- Must be able to collect medical records
- Willing to work in community.
May require minimal travel within community.
In accordance with state and federal laws, employment offers are tendered solely on the basis of qualifications without regard to race, religion, color, national origin, age, sex, marital status, sexual orientation, handicap (including disabled veterans) or Vietnam Era veteran status.
AMERIGROUP administers pre-employment drug testing as a condition of employment and a satisfactory criminal history background report.
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://amerigroup.contacthr.com/16294159
Amerigroup Community Care of New Mexico...Make a Difference....In your own community.
Join our enthusiastic quality team - bring your expertise and a high quality of care - to those who are part of Amerigroup's New Mexico Amerivantage Medicare Program.
JOB SUMMARY:
The Member Outreach Associate is responsible for providing support for Medicare quality initiatives and regulatory/contractual requirements. Support includes telephonic and in-person outreach to members who are identified as requiring outreach services. May provide assistance to quality management, and performance data collection and recording.
PRIMARY RESPONSIBILITIES:
1. Provide members with information on how to access preventive and health maintenance services while identifying barriers to care.
2. Support the implementation of quality improvement preventive health and chronic condition management interventions.
3. Track, trend, and report on Medicare established quality activities, monthly as assigned. Records and reports all provider outreach activity.
4. Promote and distribute educational materials and program information to members.
5. Assists members in making follow-up appointments with his/her Primary Care Physician (PCP) and/or Specialist as indicated by the HEDIS guidelines.
6. Provides telephone follow-up to ensure members have seen their PCP and completed or are in process of completing their treatment plan or preventive care services as defined by the PCP or guidelines
7. Promotes and supports the PCP relationship.
8. Refers issues and concerns about members to the Case Manager or Member Advocate as soon as identified.
9. Serve as a referral agent to internal services and external sources.
10. Assist in the maintenance of member registry database.
11. Performs other duties as assigned or requested.
EDUCATION AND EXPERIENCE:
Education Required:
High School diploma required with at least one year of experience in healthcare or managed care industry
Preferred: College degree or equivalent preferred.
Years and Type of Experience
Required: At least one+ year of experience; Some understanding of medical terminology.
Preferred: Experience in a health related service such as community outreach worker, home health aide, etc.
Specific Technical Skills
Required: Computer literacy in Excel and Word and Outlook.
Preferred: Access Database
Certifications or Licensure
Required: Valid Driver?s License and clean driving record
Preferred:
Other
Required:
- Good verbal communication skills.
- Professional telephone skills.
- Community awareness and knowledge.
- Appreciation of cultural diversity and sensitivity towards targeted populations.
- Must be organized and able to multi-task.
- Must be able to work independently.
- Must have excellent communication skills and the ability to communicate effectively with internal and external customers.
Preferred: Bilingual skills in Spanish a plus.
PHYSICAL REQUIREMENTS
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Must be able to operate general office equipment including but not limited to: computer, phones and related media and information devices.
- Ability to communicate both in person and/or by telephone.
- Must be able to travel as needed and adhere to AMERIGROUP travel policies and procedures.
- Must be able to collect medical records
- Willing to work in community.
May require minimal travel within community.
In accordance with state and federal laws, employment offers are tendered solely on the basis of qualifications without regard to race, religion, color, national origin, age, sex, marital status, sexual orientation, handicap (including disabled veterans) or Vietnam Era veteran status.
AMERIGROUP administers pre-employment drug testing as a condition of employment and a satisfactory criminal history background report.
How to apply: DO NOT use the Apply Online button. Please copy and paste the following link into your browser address bar:
http://amerigroup.contacthr.com/16294159
Recent jobs at AMERIGROUP - New Mexico
Member Outreach Associate at AMERIGROUP - New Mexico in New Mexico
Jul 22, 2010
Published on Jun 16, 2010
Viewed: 327 times
Viewed: 327 times
Search Insurance Jobs by State: