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San Diego, CA, United StatesPosted 112 months ago
ContractremoteExecutive

Job Description

  • The selected candidate will manage 40 to 60 outbound calls.
  • These outbound calls are initial calls or follow ups calls for scheduling.
  • The selected candidate will also enter authorizations answer send emails to providers.
  • To be successful the candidate must have excellent customer service and communication skills, be able to work independently, comfortable with outlook and excel
  • Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.
  • Trouble shoots for the clinical team when an appropriate provider, type of service, or appropriate level of care cannot be readily found.
  • Researches availability of community services in order to link members to appropriate services. Assists in transitions in care for hospitalized patients and makes appropriate placements as needed.
  • Assumes responsibility for self-development and career progression.
  • Proactively seeks and participates in ongoing training (formal and informal) in all aspects of the Care Worker role.
  • Remains responsible for updating self on ever changing information to ensure accuracy when dealing with members and providers.
  • Coordinates and manages distribution of correspondence and materials to enrollees and providers.
  • Participates in operational activities, including data collection, tracking, and analysis.
  • Associates/Technical Degree

Feel free to forward my email to your friends/colleagues who might be available. We do offer referral Bonus.

Thank you.


Kind Regards,

Harris Kaushik

Clinical Recruiter

Integrated Resources, Inc.

IT Life Sciences Allied Healthcare CRO

DIRECT # - (650)-399-0891

Gold Seal JCAHO Certified ™ for Health Care Staffing

“INC 5000’s FASTEST GROWING, PRIVATELY HELD COMPANIES” (8th Year in a Row)

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Care Worker at Integrated Resources INC | Renata