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Care Worker
Ref No.: 18-06629
Location: Phoenix, Arizona
Description:
Facilitates department workflow by supporting clinical team with various care coordination workflows. Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers.

ESSENTIAL FUNCTIONS:
• Provides non-clinical support to ensure cases meet timeliness as contracted with Health Plan
• Make Out bound calls to schedule cases for Physician review and for notification of case status.
• Provide Physician Reviewers pre populated templates for reviews and post clinical information received back from reviewers into cases.
• Answer inbound calls related to scheduling and research of existing cases.
• Prepare denial letters utilizing Health Plan specific templates copying member and clinical information from Physician notes.
• Assists in the mentoring and training of new Care Workers.
• Participates in other operational activities, including data collection, tracking, and analysis.

Requirements/Certifications:
PLEASE MAKE SURE RESUMES ARE PROFESSIONAL, HAVE SUMMARIES AT THE TOP, ARE SPELL CHECKED, AND HAVE ANY GAPS IN EMPLOYMENT EXPLAINED.
*CANNOT miss any work during first 90 days Please ask this upfront when screeing. If they need time off they should not be submitted to the req. No exceptions.
Duration: Temp to hire
Hours: Flexible within the hours of 5a-5p (some OT may be required)
Education: HS or GED (no special licensing or certifications)