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Summary
About the Role
About You
- High School diploma or GED.
- Minimum of 1 year of experience in a high-volume, interactive customer service or call center environment.
- Knowledge of medical terminology.
- Utilization management experience.
Benefits
- Comprehensive benefits package including medical, dental, and vision coverage.
- Incentive and recognition programs.
- 401(k) contribution and equity stock purchase options.
- Paid Time Off and paid holidays.
CareBridge is the nation’s leading value-based care provider for members receiving home and community-based services (HCBS). CareBrige partners with managed Medicaid and Medicare plans to maximize the health, independence, and quality of life for members receiving HCBS. CareBridge’s solutions include 24/7 Member Support, Decision Support, Electronic Visit Verification (EVV) and Data Aggregation. 24/7 Member Support is CareBridge's clinical model designed to improve health outcomes for individuals receiving home and community-based services. CareBridge's virtual-first program provides members and their caregivers with a cellular-enabled tablet that gives them access 24 hours a day, 7 days a week to CareBridge's interdisciplinary medical team of physicians, psychiatrists, pharmacists, nurses, and social workers. Decision Support is an innovative solution that provides actionable recommendations on the type of home and community-based services that will help members achieve optimal independence in their lives. To develop these recommendations, CareBridge's LTSS Specialists, each of whom have a background in physical or occupational therapy, complete a person-centered assessment of each individual, informed by insights from the nation’s largest HCBS analytical database, to identify potential enhancements to the individual’s care plan and recommend empowering alternatives that can keep the member safe and independent at home. CareBridge's solutions have been shown to increase independence, improve clinical quality, and reduce emergency room visits, hospitalizations and total costs all while receiving a Net Promoter Score of 84 from patients and families.