PN Medical Assistant
Location :
Calmont Operations Building
Department : CM Support Services
CM Support Services
Standard Weekly Hours :
Summary :
The Clinical Outcomes Specialists (COS) role is to conduct telephonic outreach to Cook Childrens Health Plan (CCHP) members for needs assessment, serving as frontline agents of change, carefully stratifying member populations and applying the appropriate engagement tactics to support the stratified population, helping to reduce health disparities and improving member outcomes.
You will act as a trusted advisor and educator on health care related inquires. You will guide our members to a better healthcare experience, working every day to make healthcare easy by the service you provide.
This role is responsible for serving as the initial point of contact between CCHP and new members.
Additional Information :
The Clinical Outcomes Specialists (COS) role is to conduct telephonic outreach to Cook Childrens Health Plan (CCHP) members for needs assessment, serving as frontline agents of change, carefully stratifying member populations and applying the appropriate engagement tactics to support the stratified population, helping to reduce health disparities and improving member outcomes.
You will act as a trusted advisor and educator on health care related inquires. You will guide our members to a better healthcare experience, working every day to make healthcare easy by the service you provide.
This role is responsible for serving as the initial point of contact between CCHP and new members. Education : Education and Experience High school diploma Community Health Worker (CHW) required Minimum of one (1) successful years of healthcare customer service experience required, preferably in Managed Care.
Two years is preferred. Converting from temporary employment with Cook Childrens Health Care System may be substituted for experience.
Excellent phone communication skills as calling / engaging members are an essential element to this position. Customer service and professionalism are key A composed individual able to multi-task, navigating multiple computer applications and working efficiently while communicating and serving the member Must have a strong work ethic and sense of responsibility to teammates and members, demonstrated by the minimal standard of being on time and available to meet members needs, to being accountable for commitments made to members or others and ensuring follow-ups are completed Ability to adapt to changing health care environment;
ability to work with all members of the health care team to achieve positive outcomes. Exhibits a genuine compassion for the individuals they are serving.
Skilled at building trust and relationships and deepening communication between members and providers. Must be bilingual with fluency in both English and Spanish with excellent oral and written communication skills.
Must pass a Spanish proficiency examination prior to hire. Computer and data entry experience required, as well as proficiency in Microsoft Office products (to include Word, Excel, and Office).
Ability to work well without direct supervision, independently and productively. Must be highly detail oriented with excellent organizational skills.
Preferred : Associates or Bachelors degree in business, healthcare, human services / development, or closely related field preferred Critical thinking skills, the ability to think in an organized and rational manner in order to understand connections between ideas and / or facts A passion for serving others with the ability to be empathetic and the desire to go above and beyond to help resolve members questions at the first point of contactCertification / Licensure : CHW within 180 days of employment.
About Us :
Cook Children's Health Plan
Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region.
Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area.
The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.
Cook Children's is an EOE / AA, Minority / Female / Disability / Veteran employer.
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