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Resource Referral Specialist-Health Status

Company: MaineHealth
Location: Portland
Posted on: January 15, 2023

Job Description:


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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