- HealthCare Support (Odessa, TX)
- …support staff. Conduct screening and risk assessment interventions per program guidelines. LTSS service care manager will have 3 days of travel for visits seeing the ... members in their home and 2 days working remote for documentation of assessments as well as any...required to work . SC will be assessing the member for approval or denial of personal attendant services… more
- TEKsystems (Houston, TX)
- …referrals, claims and any other aspects of plan benefits and services. Ensures member satisfaction by providing superior customer service and willingness to help ... Additional Skills & Qualifications Call Center - 2+ years Bilingual in a MUST Health plan experience preferred Additional...or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position is anticipated to… more
- Molina Healthcare (Houston, TX)
- …regular member benefits training with health plan, including the member advocate/engagement role. + Bilingual **Job Qualifications** **REQUIRED EDUCATION:** ... **Job Description** **Job Summary** Responsible for continuous quality improvements regarding member engagement and member retention. Represents Member … more
- Humana (Austin, TX)
- …a variety of strategies, approaches and techniques to manage a member 's physical, environmental and psycho-social health issues. Identifies and resolves barriers ... fast paced and requires ability to engage quickly with member while concurrently navigating multiple computer applications. Due to...be current with no disciplinary action. + **Must be bilingual in Spanish and Engligh - resume must be… more
- Kelly Services (San Antonio, TX)
- **Kelly(R) Professional & Industrial has open opportunities for remote Spanish Interpreters.** We are currently looking for skilled ** Bilingual Call Center ... calls will be a mandatory occurrence in this position ** Remote technical requirements:** + The use of your personal...you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to… more
- TEKsystems (Dallas, TX)
- …Qualifications: + Minimum of 2 years of experience in a call center or customer service environment. + Bilingual proficiency in one of the required languages is ... Language - Bilingual required (see below) Must Reside in -...NV Position Summary:We are seeking a dedicated and customer-focused Member Services Representative to serve as the primary point… more
- The Cigna Group (Midland, TX)
- Job Description Job Description ** Bilingual Licensed** **Practical Nurse** **-** **Evernorth** The experienced Licensed Practical Nurse / Licensed Vocational Nurse ... patient/family education, identifying opportunities for preventative screening, notification of member 's test results. + Where applicable, coordinate withfront office… more
- Healthfirst (TX)
- …outcomes. + Assists in identifying opportunities for alternative care options based on member needs and assessments. + Evaluates service authorizations to ensure ... This position is 100% Remote ** **Duties and Responsibilities:** + Advocates, informs, and...and maintenance of successful health outcomes. + Liaise between service providers such as doctors, social workers, discharge planners,… more
- CVS Health (TX)
- …resolve concerns efficiently. As the Single Point of Contact for handling escalated member service inquiries, you will act with fast knowledge using integrated ... during active calls, helping them navigate questions and workflows. + Handle escalated member service inquiries and issues, working to de-escalate and resolve… more
- Molina Healthcare (TX)
- …medically appropriate and cost-effective based on the severity of illness and the site of service . We are seeking a candidate with a WA state RN licensure to support ... must have previous case management, discharge planning or care coordination experience. Bilingual candidates that speak fluent Spanish are encouraged to apply to… more
- Insight Global (Austin, TX)
- …ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic ... Job Description A leading healthcare client is seeking Remote Registered Nurses to support a new program...on urgency while working effectively with diverse populations. * Bilingual in Spanish * Experience within Women's Wellness, Dialysis,… more
- Public Consulting Group (Austin, TX)
- …committed to delivering solutions that change lives for the better. The firm is a member of a family of companies with experience in all 50 states, and clients in ... always-on, quickly changing environment + Fluent in English required, bilingual a plus + Our internship program is only...visa sponsorship, either now or in the future + \#LI- Remote + **As required by applicable law, PCG provides… more
- Centene Corporation (Austin, TX)
- …adequate and appropriate person-centered care or services + Monitors care plans / service plans and/or member status, change in condition, and progress towards ... in either Dallas or Hidalgo County, TX and be bilingual in Spanish. **Position Purpose:** Performs care management duties...care plan / service plan goals; collaborate with member , caregivers,… more
- University of Texas Rio Grande Valley (Rio Grande, TX)
- …candidates will possess a record of research and scholarship, teaching, service , community engagement, commensurate with early career faculty. Our faculty members ... the Rio Grande Valley (ie, 94% Hispanic, primarily Mexican-American; bilingual and bicultural; borderland communities); gerontological social work; sustainability;… more
- Robert Half Office Team (Austin, TX)
- …+ Bilingual (English/Spanish) is a plus. Work Environment: + Remote -first role with occasional in-office meetings or training sessions. + Standard business ... Description Our client is hiring experienced Customer Service Representatives in a contract to hire capacity...in the system with accuracy and professionalism. + Resolve member concerns with empathy and efficiency. + Stay current… more
- CenterWell (Austin, TX)
- …+ Bilingual skills (English/Spanish or English/Creole). **Additional Information** **Workstyle:** Remote work at Home **Location:** Must reside in one of the ... plays a pivotal role in Humana's mission to improve member health, compliance, and overall experience by fostering a...and productivity. + Minimum three, (3) years of customer service and/or sales related experience with a demonstrated ability… more
- Humana (Austin, TX)
- …a variety of strategies, approaches, and techniques to manage a member 's physical, environmental, and psycho-social health issues. Identifies and resolves barriers ... monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and… more
- Molina Healthcare (El Paso, TX)
- …and cost-effective based on the severity of illness and the site of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that ... occurs smoothly, At this time, this position is fully remote , working from home, BUT there is a chance...- experience with the LTSS or Behavioral Health populations. Bilingual is also a plus. Solid experience with Microsoft… more
- Health Care Service Corporation (Waco, TX)
- …on health care programs to address their personal health needs, engaging the member in discussion of adherence to personal health goals, responding to inquiries from ... members, and supporting clinical operations with provider and member activities. This position will be required to complete member telephonic and/or field-based… more
- MD Anderson Cancer Center (Houston, TX)
- …5 years experience preferred. Telephone help line, counseling, teaching or customer service role in oncology or population health. Bilingual Spanish/English. ... skills to verify understanding. i. Participates fully in all customer service data collection and management processes, using standard or customized software… more
