Resource Referral Specialist-Health Status
Company: MaineHealth
Location: Portland
Posted on: January 15, 2023
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Job Description:
Summary
Position Summary
This is a professional position which facilitates the provision of
quality customer services for clients. Serves as the Resource and
Referral Specialist for the applicable service area. Provides
information about the program to callers and walk-in inquiries and
does initial eligibility screening, scheduling applicant for
comprehensive program intake and enrollment services, or other
health related services and referrals as needed and appropriate.
Assists with other tasks related to enrollment, re-enrollment,
prescription assistance, care management, and other projects as
assigned, to ensure members can access care as necessary. Initiates
and prepares applications to assist enrollees in applying for free
medications provided through the program. Coordinates with network
providers' offices, members and companies to track the status of
applications & other related documentation to determine if
medications have been received by members. Advocates on behalf of
members.
Required Minimum Knowledge, Skills, and Abilities (KSAs)
Education: High school level of knowledge preferred and at least
two years' advanced education and experience to prepare reports,
perform calculations, complete forms and write business
letters.
License/Certifications: N/A
Experience: See "Education." General knowledge of state and federal
agencies, community resources, and regulations acquired through no
less than 2 years of experience in social/human services, health
care management or related field.
Computer competency that will enable employee to operate project's
software system and meet the responsibilities of the position.
Proficient knowledge of Microsoft Office Products (Word, Excel,
Access, Power Point), Internet usage and DataNet software for PAP
applications, if applicable.
Interpersonal skills necessary to effectively, compassionately and
cordially interact with the public including health care providers
and applicants.
Excellent verbal skills in order to explain policies and procedures
to applicants, enrollees, providers and the general public.
Strong customer service, teamwork, resource knowledge and advocacy
skills are essential.
Requires significant initiative, independent judgment and
discretion.
Additional Information
MaineHealth was ranked one of America's Best Large Employers in
2022 by Forbes!
MaineHealth is a not-for-profit integrated health system whose
vision is, "Working together so our communities are the healthiest
in America." MaineHealth consists of nine local health systems, a
comprehensive behavioral health care network, diagnostic services,
home health agencies, and 1,700 employed clinicians working
together through the MaineHealth Medical Group. With approximately
22,000 care team members, MaineHealth provides preventive care,
diagnosis and treatment to 1.1 million residents in Maine and New
Hampshire. Learn more about our system at
At MaineHealth, we offer benefits that support an individual's
needs for today and flexibility to plan for tomorrow. Our packages
include health and dental insurances, paid parental leave,
retirement program, generous paid time off, and much more! Our
comprehensive array of benefits are competitive, affordable, and
include choices that meet specific, but ever changing, needs.
With a career at any of the MaineHealth locations, you'll be
working with health care professionals that truly value the people
around them - both within the walls of the organization and the
neighborhoods that surround it. We are deeply invested in the
well-being of our communities and care team members. We believe in
fostering a work environment of strong commitment, compassionate
caring and continuous improvement. Join us, and your abilities will
be challenged and enhanced as you take your career to a new
level.
Additional Information MaineHealth is a health system whose members
and affiliates include hospitals, physician practices, long-term
care facilities, home care agencies, and support services. Learn
more about this system at www.mainehealth.org
Keywords: MaineHealth, Portland , Resource Referral Specialist-Health Status, Other , Portland, Maine
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