Healthcare Service Manager (SAN ANTONIO)

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POSITION SUMMARY / RESPONSIBILITIES

The Non-clinical Service Coordinator (NC-SC) supports medical, behavioral, and social support staff within the Service Coordination team to provide a holistic evaluation of STAR+PLUS Members individual dynamics, needs, and preferences while providing education and health-related information to the Member, the representative, and the Members Support Network. Provides direct and indirect service coordination support to STAR+PLUS members and performs clerical duties including scheduling, authorization processing, telephonic outreach, and the generation of required reports. Complies with Community First Health Plans, Inc. (Community First) policies, procedures, and protocols for establishing and maintaining good working relationships with co-workers, members, and guests.

EDUCATION / EXPERIENCE

A high school diploma or General Education Degree (GED) is required. A Bachelors degree is preferred. Must have direct experience working with adults with disabilities (and similar conditions or behaviors) in three of the last five years.At least two years of experience in a managed care environment or working with people with disabilities and vulnerable populations who have chronic or complex conditions is preferred. Data entry experience is required. Call center experience preferred.Experience with RUG / MDS / PASRR preferred Experience with healthcare application systems is desirable.

LICENSURE

A Medical Assistant diploma from an accredited school or certification from an approved credentialing body for medical assistants is desirable.