Provides critical care management support to the Care Management team, which provides multifaceted healthcare navigation assistance to members/caregivers and providers in accordance with regulatory compliance standards. The position performs a variety of functions that support the RN Care Managers to meet regulatory requirements and the needs of Health Plan members. This position will be supporting an interdisciplinary case management team experiencing growth related to new contractual commitments. Supports the model of care and serves as part of the integrated care team that manages the members wellbeing. Performs telephonic outreach to our new health plan members to obtain a health risk assessment, as well as to welcome the members onto the health plan and ensure that the nurse care managers have the information needed to put together a care plan for the members. Serves as support staff for the nurse care managers and assist in sending out letters, mailings, and other administrative tasks as needed. Works with other team members to perform outreach based on condition management needs via the Warm Health Dashboard - an interactive program that allows our members to contact us when they would like to speak to a care manager. Enters health risk assessments and health history questionnaires into our medical record system, as well as tasking the nurse appropriately. Responsible for the monthly update of the health risk assessment for University Care Advantage members via telephonic outreach and works with other team members to complete this outreach and assist members with other miscellaneous tasks, as well as promote active care management to our members.
Provides advanced administrative or business support for one or more departments. Demonstrates excellence in organization, communication and human relations skills. Demonstrates strong understanding of area practices and procedures. Shows ability to organize, prioritize and mutli-task workload in fast-paced environment.
Uses established policies and general instructions and procedures to resolve a variety of problems. Chooses the best alternative from group of known possibilities.
Ensures accessibility of accurate information to department personnel as needed. Performs data entry into software applications systems for department. Responds to standard requests from internal and/or external customers. Interacts primarily with department personnel, cross- department personnel, supervisor and external customers.
Works cohesively with team members to ensure delivery of outstanding customer service, in a positive work environment, that supports the departments ongoing goals and objectives. Prioritizes and organizes own work. Uses discretion to modify work practices to achieve results or improve efficiency.
High school diploma/GED or equivalent working knowledge.
Must demonstrate effective communication and customer service skills, human relation skills and time management skills with flexibility in responding to multiple demands. Moderate experience, typically gained through 1-2 years relevant work experience
Must have computer skills, proficient in Microsoft office suite and able to multitask.
1-2 yrs experience, C.N.A. or M.A. preferred. Bilingual English/Spanish strongly preferred.
Additional related education and/or experience preferred.
You want to change the health care industry – one life at a time. You belong here. You’re excited to be part of the dramatic changes happening in the health care field. In fact, you thrive on change. But you also understand that excellent, compassionate patient care is the true measure of the success of these changes. You belong at Banner Health. Our award-winning, comprehensive health system includes 23 hospitals in seven western states, primary care health centers, research centers, labs, a network of physician practices and much more. Throughout our system, skilled, compassionate professionals use the latest technology to change the way care is provided. If you’re looking to be a key contributor to a forward-looking organization, you’ll experience a wide variety of professional advantages: •Our vision for changing the future of health care gives you the opportunity to leverage your abilities to achieve something historic. •Our expansive system offers you an unmatched variety of clinical settings – from large urban trauma center to small rural hospital, ambulatory to home health. Our system also includes hospitals specializing in cancer, heart health and pediatrics. •Our many loc...ations also translate into a broad selection of exciting and rewarding lifestyle options – from the big city to the wide-open spaces. •Our commitment to healthcare innovation means you always have the latest technologies at your fingertips to help you provide the finest care possible. •The size, success and growth of our system provide you with the stability and options to pursue your desired career path. •Our competitive compensation and comprehensive benefits offer you options to complement your unique needs.