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Care Connector Bilingual Spanish

Philadelphia, Pennsylvania, United States
January 03, 2019


The primary purpose of the job is to:

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 Care Connector will start cases start UM cases in JIVA, perform data entry,answer phone calls from providers and members and attach faxes to cases. 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.

MCO experience a plus

Skill Required / Desired Amount of Experience

High School Diploma or GED Required

Customer service experience on phone and in-person Required 1 Years

Proficient PC skills in a Windows based environment including word processing, spread sheets and working in database programs Required

Working knowledge of Plan Benefits and Services Highly desired

Proven ability to keep accurate and timely records and documentation according to established processes Required