Duties :
Assists with health management activities / programs for Client Client of South Carolina (BCBSSC) and / or Blue Choice members.
- Provides health coaching or intervention telephonically or in person for assigned health programs. Utilizes all data systems containing patient information and documents information appropriately.
- Assists with the identification of areas for which there is a need for health management programs. Monitors quality indicators and develops programs to positively impact areas where improvement is warranted.
Develops patient / provider educational materials for members / providers.
Assists with implementation of health management activities / programs for membership. Facilitates program to participants and focuses emphasis on medium-risk patients.
Follows / updates established procedures. May conduct research and analysis of reports (monthly, quarterly, and annually).
Assists with the development of strategies to increase effectiveness of and participation in health management programs.
Establishes / maintains effective communications with provider network, group, representatives, and members.
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Skills :
Required Skills and Abilities : Ability to work independently, prioritize effectively, and make sound decisions. Good judgement skills.
Demonstrated customer service and organizational skills. Demonstrated proficiency in spelling, punctuation, and grammar skills.
Ability to persuade, negotiate, or influence others. analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion.
Required Software and Other Tools : Ability to use standard office equipment. Working knowledge of Microsoft Word, Excel, PowerPoint, or other work processing / spreadsheet / presentation software.
Work Environment : Typical office environment. May involve some travel.
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EEO :
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