Member Care Specialist

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    "description": "<table cellspacing=\"0\" class=\"Table\" style=\"border-collapse:collapse;border:none;width:733px;\">\r\n\t<tbody>\r\n\t\t<tr>\r\n\t\t\t<td style=\"background-color:#95b3d7;border-bottom:1px solid #aaaaaa;border-left:1px solid #aaaaaa;border-right:1px solid #aaaaaa;border-top:1px solid #aaaaaa;width:99px;\">\r\n\t\t\t<p><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><strong><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Function(s):</span></span></strong></span></span></span></p>\r\n\t\t\t</td>\r\n\t\t\t<td style=\"border-bottom:1px solid #aaaaaa;border-left:none;border-right:1px solid #aaaaaa;border-top:1px solid #aaaaaa;width:634px;\">\r\n\t\t\t<p><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Provide information and assistance to </span></span><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">members,</span></span><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\"> caregivers, providers and other stakeholders in support of the HCBS Unit</span></span></span></span></span></p>\r\n\t\t\t</td>\r\n\t\t</tr>\r\n\t</tbody>\r\n</table>\r\n\r\n<p><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><strong><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">JOB RESPONSIBILITIES:</span></span></strong><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\"> </span></span></span></span></span></p>\r\n\r\n<table cellspacing=\"0\" class=\"Table\" style=\"border-collapse:collapse;border:none;width:733px;\">\r\n\t<tbody>\r\n\t\t<tr>\r\n\t\t\t<td style=\"background-color:#95b3d7;border-bottom:1px solid #aaaaaa;border-left:1px solid #aaaaaa;border-right:1px solid #aaaaaa;border-top:1px solid #aaaaaa;width:733px;\">\r\n\t\t\t<p><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><strong><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Provide telephone information &amp; assistance</span></span></strong></span></span></span></p>\r\n\t\t\t</td>\r\n\t\t</tr>\r\n\t</tbody>\r\n</table>\r\n\r\n<ol>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Handle incoming emergent communication requests from members, providers, payors and others pertaining to individuals served by Care Managers, Waiver Service Coordinators, Nurse Transition Coaches and other clinical care professionals, including but not limited to phone calls, census data management, member transfers, service increase and decrease requests, resource requests, reports and more.  </span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Document the stakeholder requests in the appropriate documentation systems in a timely and accurate manner. </span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-family:'Segoe UI', sans-serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Communicate with members by phone or at times in-person with compassion utilizing effective motivational interviewing and at times and effective sales technique; be familiar with Health Plan offerings and </span></span></span><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">communicate the requests to the assigned Care Manager/WSC and Nurse Transitions Coach. </span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-family:'Segoe UI', sans-serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">As needed, schedule home visits for Field Staff according to Program requirements. Document calls/contacts/closeouts/enrollments accordingly in ClientTrack.</span></span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">If handling incoming CM/WSC related calls consult with the covering Licensed Coverage Care Specialist as needed for all clinical issues. Also, consult with the Supervisor and/or program Director as needed when addressing clinical issues.  </span></span></span></span></span></li>\r\n\t<li><span style=\"color:#000000;font-family:Arial, sans-serif;\"><span style=\"font-size:14.6667px;\">Facilitate</span><span style=\"font-size:11pt;\"> and coordinate services based upon the care plan with all stakeholders.</span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">When appropriate, enter </span></span><span style=\"font-family:'Segoe UI', sans-serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">census into ClientTrack database, conduct research to track facility-based members. </span></span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Maintain appropriate documentation within protocols and guidelines for all HCBS programs. </span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">As needed, </span></span><span style=\"font-family:'Segoe UI', sans-serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">distribute and track satisfaction surveys and Scorecards. </span></span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Retrieve and follow-up on voicemails for absent clinical program staff. </span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Assist clinical program staff and members in the services referral process.</span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Monitor UM alerts (admissions/discharges) for the MyCare Ohio CareSource program.</span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-family:'Segoe UI', sans-serif;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Complete visits as needed for the Program that do not require licensure, both in the facility and/or home setting. </span></span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Perform any other job-related instructions as requested.</span></span></span></span></span></li>\r\n</ol>\r\n\r\n<p> </p>\r\n\r\n<table cellspacing=\"0\" class=\"Table\" style=\"border-collapse:collapse;border:none;width:733px;\">\r\n\t<tbody>\r\n\t\t<tr>\r\n\t\t\t<td style=\"background-color:#95b3d7;border-bottom:1px solid #aaaaaa;border-left:1px solid #aaaaaa;border-right:1px solid #aaaaaa;border-top:1px solid #aaaaaa;width:733px;\">\r\n\t\t\t<p><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><strong><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Other Duties</span></span></strong></span></span></span></p>\r\n\t\t\t</td>\r\n\t\t</tr>\r\n\t</tbody>\r\n</table>\r\n\r\n<ol>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Identify and implement LEAN process engineering activities.</span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Participate in the development and implementation of the local performance culture.</span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Exemplify the Agency 3C’s corporate culture in all activities and interactions with staff, members, consumers, stakeholders as well as the community at large.</span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Maintain minimum proficiency in all requisite computer applications and software.</span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Participate in the implementation of strategic business and/ or operational plans, projects, programs and systems as appropriate for the objectives</span></span><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">.</span></span></span></span></span></li>\r\n\t<li><span style=\"font-size:12pt;\"><span style=\"font-family:Verdana, sans-serif;\"><span style=\"color:#000000;\"><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Participate in and contribute towards accomplishment of divisional and Agency dashboard goals.</span></span></span></span></span></li>\r\n</ol>\r\n\r\n<p><span style=\"font-size:11pt;\"><span style=\"font-family:Arial, sans-serif;\">Perform other tasks as assigned by supervisor</span></span></p>",
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