Caregiver, Shift Care

Care Engagement is responsible for supporting the organization’s goals of obtaining health needs screenings, scheduling preventive service appointments and educating members on plan benefits and services. 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 equivalent and 3+ years of sales experience in a call center or other high pressure sales environment, or experience in member, provider, customer service, or call center; or Bachelor degree in healthcare, business administration, or related field and 1+ years of sales experience in a call center or other high pressure sales situation, or experience in member, provider, customer service, or call center. bilingual in Spanish and English preferred. Make outbound or receive inbound calls from members to schedule doctor appointments, assist members that need to complete Health Needs Screenings or make payments to become eligible for enhanced benefits. Educate members on utilization of Emergency Departments in non-emergent conditions and the impact to their benefits. Identify and overcome barriers in order for members to complete needed health screenings, obtain needed services or make payments to secure enhanced benefits. Review each member profile prior to outreach to identify areas of opportunity, which includes but is not limited to reviewing additional benefits available for members and identify opportunities for members to become eligible for additional benefits. Participate in continuous quality improvement initiatives to ensure department and company goals are met and exceeded. Review and analyze data for call reports to make adjustments as needed to call approach for members in order to obtain information. 2+ years work experience- outbound experience, some office experience, working from home experience Top 3 must-have: Outbound call handling and member outreach experience Accurate documentation and data entry in multiple systems Appointment scheduling and care coordination support for SDOH resource needs
22.99 - $23 per hour
shift: Make outbound or receive inbound calls from members to schedule doctor appointments, assist members that need to complete Health Needs Screenings or make payments to become eligible for enhanced benefits.
Educate members on utilization of Emergency Departments in non-emergent conditions and the impact to their benefits.
Identify and overcome barriers in order for members to complete needed health screenings, obtain needed services or make payments to secure enhanced benefits.
Review each member profile prior to outreach to identify areas of opportunity, which includes but is not limited to reviewing additional benefits available for members and identify opportunities for members to become eligible for additional benefits.
Participate in continuous quality improvement initiatives to ensure department and company goals are met and exceeded.
Review and analyze data for call reports to make adjustments as needed to call approach for members in order to obtain information.
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If you require a reasonable accommodation to make your application or interview experience a great one, please contact View email address on randstadusa.com offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).