Apply on line at http://www.alohacare.org/Careers/Default.aspx

The Company:

AlohaCare is a local, non-profit health plan serving the Medicaid and Medicare dual eligible population. We provide comprehensive managed care to qualifying health plan members through well-established partnerships with quality health care providers and community-governed health centers. Our mission is to serve individuals and communities in the true spirit of aloha by ensuring and advocating access to quality health care for all. This is accomplished with emphasis on prevention and primary care through community health centers that founded us and continue to guide us as well as with others that share our commitment. As Hawaii’s third-largest health plan, AlohaCare offers comprehensive prevention, primary and specialty care coverage in order to successfully build a healthy Hawaii.

The Culture:

AlohaCare employees share a passion for helping Hawaii’s most underserved communities. This passion for helping and caring for others is internalized and applied to our employees through a supportive and positive work environment, healthy work/life balance, continuous communication and a generous benefits package.

AlohaCare’s leadership empowers and engages its employees through frequent diversity, recognition, community, and educational events and programs. AlohaCare has a strong commitment to support Hawaii’s families and reinforces a healthy work/home balance for its employees. Because AlohaCare values honesty, respect and trust with both our internal and external customers, we encourage open-door, two-way communication through daily interactions, employee events and quarterly all-staff meetings. AlohaCare’s comprehensive benefits package includes low cost medical, dental, drug and vision insurance, PTO program, 401k employer contribution, referral bonus and pretax transportation and parking program.

These employee-focused efforts contribute to a friendly, team-oriented culture which is positively reflected into the communities we serve.

The Opportunity:

Functions as a Care Gap Coordinator in facilitating and prioritizing appointments required to close gaps in care. Collaborates with provider’s front and back-office staff. Makes outbound calls to members and providers to encourage, facilitate and coordinate obtaining appointments necessary to close care gaps. Documents and communicates with members and providers on referral status and appointments.

Primary Duties and Responsibilities:

• Proactively research, locate and provide outreach to members that that have outdated contact information.
• Uses available tools and applications to identify, list, track, and prioritize outreach activities using medical/pharmacy utilization, risk scores and gaps in care lists.
• Establish relationship and communication with Health Coordinators, Transitions of Care Coordinators, and Community Healthcare Clinics to locate hard to reach members or difficult to find specialists.
• Build internal and external relationships, foster trust, and respect.
• Advocate for the AlohaCare member with key contacts with AlohaCare staff on an on-going basis.
• Identify care gaps and outreach to members to scheduled appointments with providers to resolve on an ongoing basis.
• Three-way calling with members and providers to accomplish scheduling of care gaps.
• Schedule or coordinate transportation as needed for member to reach and return from care gap appointments.
• Follow up with members after appointments to ensure tests, procedures or assessments were complete, reschedule as needed.
• Develop subject matter expertise/intimate knowledge of specific communities; people, providers, social service agencies, faith-based organizations, schools, community centers, etc.
• Develop key contacts and relationships with community partners, social service agencies, faith-based organizations, schools, community centers, etc.
• Collaborate and work with internal AlohaCare departments to assist in member/patient engagement.
• Perform other duties that support Member and Provider Engagement activities.
• Document, track, monitor and report all member engagement and care gap closures.
• Perform other duties as assigned.
• Responsible to maintain AlohaCare’s confidential information in accordance with AlohaCare policies, and state and federal laws, rules and regulations regarding confidentiality. Employees have access to AlohaCare data based on the data classification assigned to this job title.

Requirements:

• High School diploma or equivalent required
• Requires minimum of one-year experience in Customer Service/Social Service and/or Outreach experience.
• Must possess extensive knowledge of designated community/communities.
• Strong verbal and written communication skills in English.
• Diligent, detail oriented, and organized in conducting outreach activities.
• Ability to establish trust with members.
• Requires operation of general office equipment to include; PC, fax/copy machine and ACD Mitel Phones.
• Intermediate skill using Microsoft Programs; Word, Excel, Outlook and PowerPoint.
• Use of internet research tools to identify an individual’s current contact information.

Preferred Qualifications:

• Fluent in other languages desired/preferred
• Medical Assistant certificate desired/preferred

Mental, Physical and Environmental Demands:

• Sedentary Work: Exerting up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time.
• Both Inside and outside working conditions. Regular visits to state agencies, community agencies, hospitals and medical clinics
• No environmental hazards

Salary Range: $19.75 - $26.00 an hour

AlohaCare is committed to providing equal employment opportunity to all applicants in accordance with sound practices and federal and state laws. Our policy prohibits discrimination and harassment because of race, color, religion, sex (including gender identity or expression), pregnancy, age, national origin, ancestry, marital status, arrest and court record, disability, genetic information, sexual orientation, domestic or sexual violence victim status, credit history, citizenship status, military/veterans status, or other characteristics protected under applicable state and federal laws, regulations, and/or executive orders.