Assessor

Job Title : Member Health Assessor

Location : Indiana (Remote)

Job Summary :

The Member Health Assessor engages with the member to establish an effective, professional relationship with primary responsibility to conduct their health risk assessment.

Essential Functions :

• Participate in the Integrated Care Coordination Team as needed.
• Coordinate logistics to support care plan goals and interventions - as needed to address immediate member concerns.
• Verify eligibility, previous enrollment history, demographics, and current health status of each member prior to outreach.
• Conduct assessments by gathering information from the member, family, provider, and other stakeholders, as directed by Member and / or their Legally authorized representative.
• Contribute to the development and implementation of care plan and reporting information to the Care Coordinator based on assessment outcomes, when needed.
• Assist with the provision of health education, wellness materials and coaching ,as appropriate.
• Maintain appropriate documentation within protocols and guidelines of the Care Management program.
• Starts each intervention with members wondering, "What does the world look like for this person, and how can I meet him or her where they are?

What are his or her unique needs, and how can wehelp?" In each interaction, the employee will aspire to help the member to feel informed, empowered, and supported.

• Looks for ways to improve the process to make the members experience with us easier and streamlines time to complete the assessment and follow-up.

Education and Experience :

• High School Diploma or General Education Diploma (GED) is required.
• Minimum of two (2) years of experience in either volunteer or paid position working in community settings with at risk populations providing coordination of services is preferred.

Competencies, Knowledge and Skills :

• Proficient with Microsoft Office, including Outlook, Word, and Excel
• Sensitivity to and experience working within different cultures.
• Good interpersonal skills
• Ability to work independently and within a team environment.
• Ability to identify problems and opportunities and communicate to management.
• Developing knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
• Demonstrate compassion, support and collaboration with members and families.
• Self-motivated and inquisitive
• Comfort with asking pertinent questions.
• Ability to work in a fast-paced environment.
• Ability to demonstrate and promote ethical conduct.
• Ability to develop positive relationships with all stakeholders.
• Awareness of community & state support resources
• Organized , detail-oriented and conflict resolution skills.
• Ability to keep composure and professionalism during times of high emotional stress.
• Ability to maintain confidentiality and act in the company's best interest.
• Proven track record of demonstrating empathy and compassion for individuals.
• Proven track record for improving processes to make things easier for those you have served.

Licensure and Certification :

None

PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to : veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.

Last updated : 2024-05-20