- Establish and maintain contact with members via video, phone, text, and email in both English and Spanish.
- Develop individualized member and clinician-centered care plans per NCQA guidelines.
- Assess member health status and care coordination needs.
- Collaborate with member healthcare providers as needed.
- Utilize motivational interviewing and the Triple Aim framework to empower members.
- Explain program benefits to new or inactive members.
- Document and manage member information in accordance with HIPAA compliance.
- Meet individual performance metrics for member engagement and retention.
Microsoft OfficeHIPAA