Program Specialist (Healthcare) Jobs

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Conduct screening and risk assessment interventions per program guidelines. Assist with non-medical aspects of the member’s care, including referrals to community resources.

Job Responsibilities:

• Educate members with special needs to foster compliance with program and positively impact outcomes.
• Educate providers and community resources on program components and available support services.
• Work with community outreach/member advocates to coordinate member care.
• Identify special needs members through the completion of health screens and other resources.
• Conduct site visits as appropriate for programs and provide support to other special programs.
• Development of plan specific literature and education materials in conjunction with medical director and corporate oversight.
• Develop and modify care plans in conjunction with member, member’s family and managing physician.

Education:

• Bachelor’s degree in Social Work, Nursing, Health, Behavioral Science or Equivalent Experience.

Experience:

• Experience in a managed care environment preferred. 0-2 years of experience