Remote LVN/LPN- $30/hour
Company: HireOps Staffing, LLC
Location: Killeen
Posted on: May 15, 2022
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Job Description:
Job DescriptionSalary: $30/hourly
***Must live in the Temple/Belton/Killeen/Fort Hood area***
BASIC FUNCTION:This position is responsible for conducting health
assessments, contacting identified members to inform and educate
them on health care programs to address their personal health plan
needs, engaging the member in discussion of adherence to personal
health plans, responding to inquiries from members, and supporting
the clinicians in the Medical Management department with their
provider and member activities.ESSENTIAL FUNCTIONS:1. Responsible
for home health assessments and system updates.2. Perform outreach
and follow up attempts to members on their health care plan.3.
Build relationships with members to encourage compliance with care
plans and to alert the Case Manager quickly when issues arise.4.
Inform and educate members on their program, may use supplied
scripts. Complete records in system by performing data entry.
Encourage member usage of our programs, including arranging
appointments and additional member services (e.g., transportation).
Generate appropriate correspondence and send to member manually,
electronically, or telephonically.5. Conduct check-ins with members
to review individual care plan goals.6. Maintain production
requirements based on established department business needs.7.
Provide support to the clinical team by performing the non-clinical
functions (as identified by the business process) necessary to
generate, manage, and close a case within the platform.8. Receive,
analyze, conduct research and respond to telephone and/or written
inquiries. Process information from member or provider to determine
needs/wants and ensure customer questions have been addressed.
Respond to customer or send to appropriate internal party.9. Notify
help desk of system issues.10. Perform data entry function to
update customer or provider information.11. Obtain required or
missing information via correspondence or telephone.12. May serve
as contact for the various groups regarding claims which involves
conducting research, obtaining medical records/letters of medical
necessity from TMG, reopen or initiate new cases as needed and
refer case to clinicians.13. Support and maintain communications
with various in-house areas regarding groups' concerns, i.e.:
Marketing, Provider Affairs, and SSD.14. Communicate and interact
effectively and professionally with co-workers, management,
customers, etc.15. Comply with HIPAA, Diversity Principles,
Corporate Integrity, Compliance Program policies and other
applicable corporate and departmental policies.16. Maintain
complete confidentiality of company business.17. Maintain
communication with management regarding development within areas of
assigned responsibilities and perform special projects as required
or requested.
JOB REQUIREMENTS: LVN/LPN with 1 year experience in managed care
systems/pediatrics/home health Knowledge of medical terminology
Experience coordinating member medical related needs, providing
assistance to members, and analyzing member needs PC proficiency
including Microsoft Office applications Customer service skills
Verbal and written communications skills including developing
written correspondence to members and to other department personnel
and coaching skills, including motivational interviewing, to
educate members on medical issues Current state driver license,
transportation, and applicable insurance Ability and willingness
to travel
Keywords: HireOps Staffing, LLC, Killeen , Remote LVN/LPN- $30/hour, Healthcare , Killeen, Texas
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