Auto req ID 1998BR Company BlueCross BlueShield of WNY About Us BlueCross BlueShield of Western New York is a division of HealthNow New York Inc., one of New York’s leading health care companies that provides access to quality health care and solutions for members throughout Upstate New York. Since 1936, BlueCross BlueShield has helped millions of people gain access to health care. Headquartered in Buffalo, NY, the company is an independent Licensee of the BlueCross BlueShield Association. As the region’s leading health plan, serving over 800,000 members, BlueCross BlueShield believes in taking small steps towards healthier living. You can visit our website at www.bcbswny.com. Title Outreach Associate Position Posting Location Buffalo Status Full Time Regular Hours M-F 8-4:30 Job Description Collaborates with the care management clinical team to facilitate member's participation; provide outreach/education to members to encourage self-management and enroll members in care management programs. Data collection and analysis, assessment of members. Primary Responsibility Analyzes data on member/eligibility/ disease state/claims to determine if member meets criteria for case or disease management. Outreach to members to complete health survey and explain programs to member. Encourages member to participate in programs related to health/wellness. Assigns and schedules member for Disease or Case manager as appropriate based on information received from member assessment. Provides program information to members, providers, community groups and hospitals to promote programs. Identifies barriers to care and communicates to the clinical team as appropriate. Participates in community activities to promote health and public awareness of programs. Collaborates with team to share information and develops additions/revisions to work flow. Delegates assignments. Acts as preceptor to new staff members. Document as appropriate utilizing BCBS information systems. Receives referrals from health coaches/RNs for members in need of management from internal/external sources and assigns to clinical team members for initial phone call. Performs other related duties as requested. Knowledge and Skills Knowledge of clinical/medical terminology and health topics related to disease prevention and lifestyle management Ability to function as part of a health/wellness team Excellent communication skills; bilingual Spanish may be required Strong interpersonal skills and ability to effectively coordinate with health promotion staff Ability to work independently; utilizes health related decision making skills and independent judgment Proficient computer skills in MS Word and Excel Respects diversity within team and client profile Work schedule may vary depending on external commitments Qualifications Problem Solving Skills: Determines what information should be communicated to RN, social worker; RD, back care coordinator and RT based on research; develops and implements changes to workflow; acts independently on information received within appropriate time frames; follows through on assignments.
External Contacts: Community agencies, providers, member’s families Experience Associates Degree as LPN, Medical Assistant or equivalent is required. Minimum 2 years experience in MD office/clinic, hospital setting or community agency preferred. Health related Bachelors Degree preferred. Education Required Education:Associates Degree (N/A) Working Conditions Must be able to work in an office environment Must be able to accommodate local travel. Valid drivers license and acceptable driving history required due to travel involved with this position (DMV check will be conducted to review candidate's driving record) Manual Dexterity Req: Eye-hand coordination and manual dexterity sufficient to effectively use a computer with all its components for prolonged periods of time and for the majority of required tasks Manual Dexterity Req: Eye-hand coordination and manual dexterity sufficient to effectively utilize various office equipment (phone, computer, fax machine, printer, copier, filing cabinet, etc) PPD Skin Test may be required by healthcare facility for onsite facility work EEO Statement All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, protected veteran status, or disability status. Removal Date 02-Oct-2019