[Hiring] Intake Coordinator Care Management @Premera Blue Cross

Role Description

The Intake Coordinator is responsible for providing the initial outreach, engagement, and screening of members. The intake coordinators educate and assist members in accessing care to close care gaps, utilizing digital resources to support condition self-management, and engage members in case management services. Our intake coordinators support our case management program through specialized assistance including:

• Assisting members in accessing centers of excellence (COE).
• Gathering member medical records for providers to make determinations.
• Researching complex clinical information.
• Identifying community resources to meet unique member social determinants of health needs.
• Locating in-network providers (e.g., primary care, specialty, and behavioral health).

Services include answering and managing member, provider, and warm transfers to our phone queue, and researching, gathering, and analyzing data, writing reports/presentations, and presenting findings on a variety of projects that support Clinical Programs.

What you'll do:

• Provide initial screening of potential complex case management referrals.
• Work with Case Managers to ensure potential case management referrals are appropriate for the program.
• Research and provide clinical and complex resource information for case managers and engagement specialists.
• Apply nationally accepted criteria to pre-screening members.
• Educate potential candidates for case management regarding the overall case management programs.
• Identify and work to resolve social determinants of health issues.
• Inform members of designated programs and gather medical records on behalf of the member and COE.
• Research complex clinical information, community resources, and locate providers with openings.
• Ensure documentation is clear, concise, and meets all regulatory, legal, and accreditation standards.
• Answer calls from members, providers, and warm transfers.
• Answer digital member inquiries in our mobile app.
• Triages members (e.g., calls, digital).
• Research, gather, and analyze data; write reports, including departmental reports.
• Work collaboratively with providers and support embedded/designated case managers.
• Identify emergency department, urgent care, and pharmacy utilization concerns.
• Act as point person to assist with case management process-related questions.
• Perform other clinical and administrative duties as needed.

Qualifications

• Bachelor's degree in social services, human services, behavioral sciences, or licensed in an allied health field (Required).
• 3 years' clinical experience or healthcare experience (Required).
• Motivational interviewing experience is preferred.
• 5 years clinical experience with patients.
• 3 years healthcare experience.
• Preferred: Licensed as Licensed Practical Nurse (LPN) or a Certified Counselor (CC).
• Prior Mental Health/Social Work experience.
• Prior Medical/Surgical experience.

Benefits

• Medical, vision, and dental coverage with low employee premiums.
• Voluntary benefit offerings, including pet insurance for paw parents.
• Life and disability insurance.
• Retirement programs, including a 401K employer match and a pension plan vested after 3 years of service.
• Wellness incentives with a wide range of mental well-being resources.
• Generous paid time off to reenergize.
• Tuition assistance for both undergraduate and graduate degrees.
• Employee recognition program to celebrate anniversaries and team accomplishments.
• On-campus model provides flexibility and access to on-site resources.
• Commuter perks to lessen environmental impact and costs.
• Free convenient on-site parking.
• Subsidized on-campus cafes for affordable lunchtime connections.
• Engaging on-site activities such as health and wellness events.
• Complementary fitness & well-being center offering in-person and virtual workouts.

Company Description

Premera is committed to being a workplace where people feel empowered to grow, innovate, and lead with purpose. By investing in our employees and fostering a culture of collaboration and continuous development, we’re able to better serve our customers. It’s this commitment that has earned us recognition as one of the best companies to work for.

Learn more about our recent awards and recognitions as a greatest workplace.

Learn how Premera supports our members, customers, and the communities that we serve through our Healthsource blog: Healthsource Blog .