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Case Management, Associate, Patient Engagement

Headquarters Office, 625 State Street, Schenectady, New York, United States of America; Rochester Office, 220 Alexander Street, Rochester, New York, United States of America Req #186
Wednesday, November 6, 2019
Be a part of the transformation at MVP Health Care®. MVP Health Care is a nationally-recognized, regional not-for-profit health insurer. We care for more than 700,000 members across New York and Vermont and are powered by the ideas and energy of more than 1,700 employees. We employ talented people with diverse backgrounds and experience to make health insurance more convenient, more supportive, and more personal. The question we ask many times each day is: “how can we help you?”, which speaks to a philosophy that sets us apart as a health insurance company. The customer care staff who work with our members and health care providers make a positive difference in peoples’ lives. If you’re ready to join a thriving, mission-driven company where you can create your own opportunities—it’s time to make a healthy career move to MVP.

Status: Full-time, Exempt: No         

 

Summary: 

This position will serve as the first point of contact to members identified for MVP’s Integrated Medical/Behavioral Care Management Programs. As the first point of contact for these programs, the responsibility for efficient, customer service-oriented telephone interface is paramount. The Patient Engagement Specialist will: Lead efforts to locate and engage new and previously hard-to-engage members. This individual works to overcome language and cultural barriers and engages caregivers and/or household members, as applicable. Utilize communication skills such as motivational interviewing to gain agreement from members to participate in the onboarding process; persistently forges trusting relationships and engages individuals not readily interested in such activities. Conduct brief assessments with the members identified and introduce the program and discuss their availability for clinician follow up to address their healthcare needs and concerns. Uses internal and external resources (such as claims, referrals, and pharmacy data) to identify accurate, successful modes of communication with unreachable or hard-to-reach members. Provides education to new members regarding Integrated Medical/Behavioral Care Management Programs and the role of the Care Manager. Utilizes established workflows and collaborates with internal & external stakeholders such as: Member Services, Care Managers, Enrollment, Population Health Managers, Value Based Care Partners. Complete other processes including producing and sending system-generated correspondence to members, contacting physician practices for medical information, and other tasks as assigned by management. The qualified candidate will have the skills needed to engage with the population, appropriately document throughout assessment process, and schedule additional outreach per process or as assigned. All information regarding the contacts are entered into our care management system. The Patient Engagement Specialist strictly maintains the confidentiality of our member and provider information.

 

POSITION QUALIFICATIONS

Minimum Education:

High School diploma or equivalent education

 

Minimum Experience:

At least 2 years relevant health insurance, medical/behavioral healthcare, call center or claims experience with at least one-year managed care experience preferred.

 

Required Skills:

• Excellent client service/telephone skills and ability to deal with stressful phone calls in a calm and diplomatic manner;

• Excellent computer skills including working knowledge of Microsoft Office, Word
and Excel and the internet

• Familiarity with medical terminology

• Strong written and verbal communication skills

• Experience in positions requiring strict adherence to confidentiality


MVP Health Care is an Affirmative Action/Equal Opportunity Employer (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com.

Other details

  • Job Family Medical Management/Clinical
  • Pay Type Hourly
  • Headquarters Office, 625 State Street, Schenectady, New York, United States of America
  • Rochester Office, 220 Alexander Street, Rochester, New York, United States of America