Certified Medical Assistant - Outreach Support Specialist Complex Care (2)

Health Texas Medical Group San Antonio , TX 78216

Posted 2 months ago

Position Summary: A certified professional with strong managed care experience who can work collaboratively with team members and work independently to provide care management to HealthTexas members using Medicare Complex Care Guidelines and also support clinical assessment for Homebound or Mobility Challenged patients.

Required Experience:

  • Current, unrestricted Medical Assistant Certification required.

  • Minimum of 1 year experience providing care to the managed care population.

  • Knowledge of Case Management concepts preferred.

  • Personal computer experience including Microsoft Word, Excel, PowerPoint and Outlook at the intermediate level at a minimum.

  • Experience with Milliman Care Guidelines preferred.

  • Experience with an electronic medical record preferred.

Required Skills:

  • Professional verbal and written communication skills, with the ability to clearly articulate thoughts and ideas.

  • Excellent telephonic customer service skills a must.

  • A self-starter who is successful with minimal supervision.

  • Exhibit leadership skills through performance, analytical thinking and process improvement.

  • Typing skills, at least 40 wpm.

  • Be able to manage a system-based approach to preventive care.

  • Leadership skills needed to expand the Complex Care Program.

Job Responsibilities:

  • Establish and maintain professional rapport with providers, members and other team members.

  • On occasion, assist the Complex Care Team with home visits for homebound patient.

  • Attend departmental meetings.

  • Comply with all guidelines established by the Centers for Medicare and Medicaid (CMS).

  • Other duties assigned by the director and/or supervisor.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
CSR 2 Outreach (San Antonio Service Area Region 8)

Maximus, Inc.

Posted 5 days ago

VIEW JOBS 5/24/2020 12:00:00 AM 2020-08-22T00:00 MAXIMUS Introduction Since 1975, MAXIMUS has operated under its founding mission of Helping Government Serve the People, enabling citizens around the globe to successfully engage with their governments at all levels and across a variety of health and human services programs. MAXIMUS delivers innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability and efficiency of government-sponsored programs. With more than 30,000 employees worldwide, MAXIMUS is a proud partner to government agencies in the United States, Australia, Canada, Saudi Arabia, Singapore and the United Kingdom. For more information, visit https://www.maximus.com. Job Description Summary Position provides effective customer services via telephone and in person to clients and community members regarding the selection, enrollment, and eligibility requirements for various Texas Health and Social Services Programs by utilizing excellent, in-depth knowledge of enrollment requirements program information and polices. Identifies, develops, and builds relationships with community, state and faith based organizations to enhance presence in the community. • Conducts outreach including phone calls, home visits and community presentations in the field in accordance with project policy and procedures (70% of the time). Solely responsible for a specific geographic area and related tasks for that area. Travels independently using proper safety precautions.• Conducts one-on-one and group outreach presentations to recipients and community members within a specific territory or initiative. Work environment varies and is mobile. • Presents program education and enrollment options to recipients to encourage recipient action. Presents managed care options to recipients and assists them in using their health care and dental plans and community resources as needed.• Identifies, develops, builds and maintains positive relationships with county staff, state agencies, and community/faith based groups to enhance presence in the community.• Retrieves, researches, and analyzes data from multiple data bases to answer client concerns and Completes direct data entry into designated internal automated systems in accordance with EB Project policies and procedures. • Identifies issues, problem solves and escalates unresolved issues and concerns to management immediately and regularly.• Establishes and maintains knowledge of community and participates in community events, health fairs, and other activities as needed.• Multi-tasks in several computer applications at once while holding conversation with client. Responsible for documenting activity in automated systems and reporting outcomes on a daily/ weekly basis. Responsible for ensuring confidentiality of client information.• Uses customer services skills to adapt to situations and deal with clients face to face.• Willingness to work a flexible schedule including weekends and evenings.• Assists other Outreach Counselors and other team members with management and completion of daily duties to ensure compliance with contract standards and requirements.• May be required to wear personal protective equipment (PPE) when having client in-person interaction for precautionary measures • Provide customer service inbound support via telephone when needed to assist the EB Call Center department• Performs other duties as may be assigned by management.Requirements:• High school diploma or GED required.• Bachelor's degree in social work preferred. DSHS Community Health Worker certification preferred.• Two years of human services experience or experiences dealing with the public.• Proficient in Microsoft Office products.• Knowledge of Excel preferred.• Ability to work with customers in a caring and respectful manner and with due understanding of and consideration for their unique circumstances. • Excellent organizational, written, and verbal communication skills. • Ability to perform comfortably in a fast-paced, deadline-oriented work environment. • Ability to work as a team member, as well as independently.• Must be able to remain in a stationary position for an extended period of time.• Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds.• Work is often performed conducting home visits, presentations, and part in an office environment.• Reliable transportation with proper insurance and Texas Driver's License that meets the State of Texas requirements.• Highly developed problem-solving skills preferred.• Demonstrated ability to build high performing teams preferred.• Medicaid knowledge preferred.• Bilingual Preferred * High School Diploma with 6 months - 2 years of experience. * May have additional training or education in area of specialization. * Handles customer service inquiries and problems via the telephone, recording consistent problem areas. * May respond to email inquiries. * Customer service is the primary function. * Calls are predominately routine, but may require deviation from standard screens, scripts, and procedures. * Uses computerized system for tracking, information gathering, and/or troubleshooting. * Works on assignments that are semi-routine in nature but recognizes the need for occasional deviation from accepted practice. * Communicates more complex information, using job experience to anticipate and proactively address related questions. EEO Statement: Active military service members, their spouses, and veteran candidates often embody the core competencies MAXIMUS deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We're proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. MAXIMUS is an Affirmative Action/Equal Opportunity Employer. MAXIMUS provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status. Maximus, Inc. San Antonio TX

Certified Medical Assistant - Outreach Support Specialist Complex Care (2)

Health Texas Medical Group