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Care Manager, SDOH

RHC Group Management LLC
place Westwood, 02090
local_atm $43.9K - $53.4K a year
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Full Time

About Job

About Revere Medical:

At Revere Medical we promise to provide care you can trust, outcomes you deserve, and a future you can count on. We are guided by our steadfast commitment to improving patient outcomes by empowering providers to deliver exceptional care needed to forge stronger, healthier communities. We are the leader in delivering patient-centered, provider led services that improve patient outcomes and strengthen communities.

Is this you?

Are you motivated by helping people?

Are you committed to improving patient outcomes?

Do you enjoy collaborating with a team to ensure personalized patient care?

Do you want to improve the overall health of the community?

How you will help:

  • Use of a referral management platform to match the consumer with the most appropriate behavioral health provider based on location and behavioral health and social determinants of health (SDOH) care needs.
  • Facilitate referral to Mass Health designated Community Partners (CP), facilitate necessary documentation and communication between SHCN and CP.
  • Identifying and referring of patients to appropriate social services organizations and community resources
  • Serve as liaison between members of specific health plans, primary care providers and specialists to coordinate behavioral health referrals and assist with ensuring members access to needed behavioral health care services consistent with their plan benefits.
  • Schedules patient appointments by contacting BH practices Communicates with physician practices, behavioral health providers and consumers as needed.
  • Ensure accurate and timely processing of all requests including but not limited to verifying eligibility and coverage, assisting with provider selection, scheduling necessary appointments, ensures all necessary documentation is complete.
  • Ability to effectively collaborate with other team members and provide clear communication about sensitive patient matters.


Requirements:

  • Associate degree required. Bachelor’s degree preferred.
  • Strong verbal and written communication skills.
  • Knowledge of managed care concepts and behavioral health terminology
  • Knowledge of health insurance and referral policies
  • Understands and/or experience with government subsidies and other assistance programs.
  • Customer service focused.


Why Revere Medical:

Revere Medical gives new life to clinics in need of tools resources, and support so they can start delivering the personalized care their communities deserve. We’re committed in supporting our employees by offering competitive benefits that contribute to your overall well-being.

Benefits Offered: Medical coverage (with discounts for using services through Revere), Dental, Vision, HSA with company contribution, Retirement plans, Life and Disability Insurance and much more!

Revere Medical does not discriminate in employment opportunities or practices on the basis of race, color, religion, gender, national origin, age, physical or mental disability, pregnancy, childbirth or related medical conditions, military service obligations, citizenship, sexual orientation, genetic information, or any other characteristic protected by applicable local, state, or federal law.