Job Title: Field Operations Specialist

Day-to-day:

• Travel to ~10 members homes a day in the Bronx and Westchester county
• Most of their business is in Westchester
• Complete at home assessment of about 6-7 questions. Should take no longer than 10 minutes. Makes sure that members are receiving the services they need and completing a home check (food in fridge, enough medication...)
• Complete data entry of records after visit

Schedule:Monday-Friday 9am-5pm

• Monday's usually in office in the Bronx to schedule visits for the week and complete any office work then Tuesday-Friday in the field

Qualifications:

• Valid NYS driver’s license and vehicle *must have a car, cannot take public transit
• Ability to visit members in their home.
• Requires a high school degree. BA/BS recommended.
• 2-3 years in a managed care or home care setting.
• Bilingual preferred – Spanish.
• MS Office required.
• Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.

Responsibilities:

• Travel to member homes and conduct in-home care management visit
• Communicate effectively with members/caregivers and Plan Team (clinical and non-clinical)
• Accurate documentation and use of electronic medical record
• Timely communication and of any change to member status or environment to clinical team
• Able to manage time effectively to schedule care management visits
• Timely submission of reimbursement of travel expense
• Able to effectively read reports or manage queue to schedule care management visits
• Reasonable and predictable attendance.
• Performs other duties as assigned and directed.
• Demonstrates the ability to utilize the equipment (computer/tablet, phone) necessary to perform their job duties.
• Demonstrates ability to utilize Microsoft Office Suite
• Demonstrates the knowledge of applicable Federal, State and Local regulations as it applies to required job functions.
• Demonstrates the ability to integrate age specific requirements with individual developmental, mental, social, and cultural needs when performing procedures for geriatric residents.
• Demonstrates the ability to effectively communicate information with geriatric residents.
• Demonstrates the ability to effectively communicate information with members and their families

Key Notes:

A lot of members are elderly/have mental health issues

Background in home care industry working with nursing/insurance vendors - MLTC background

strong customer service skills