Social Service Plus Specialist - Fully Remote!
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Centauri Health Solutions provides technology and technology-enabled services to payors and providers across all healthcare programs, including Medicare, Medicaid, Commercial and Exchange. In partnership with our clients, we improve the lives and health outcomes of the members and patients we touch through compassionate outreach, sophisticated analytics, clinical data exchange capabilities, and data-driven solutions. Our solutions directly address complex problems such as uncompensated care within health systems;
appropriate, risk-adjusted revenue for specialized sub-populations; and improve access to and quality of care measurement. Headquartered in Scottsdale, Ariz., Centauri Health Solutions employs 1700 dedicated associates across the country. Centauri has made the prestigious Inc. 5000 list since 2019, as well as the 2020 Deloitte Technology Fast 500™ list of the fastest-growing companies in the U.S. For more information, visit
The Social Service Specialist serves Centauri’s clients by working with client members/patients by phone to address and respond to identified needs related to Social Determinants of Health (SDOH) not otherwise provided by the clients and/or Best Benefits or Premium Assist Services. The Social Service+ Specialist will contact/respond to referred members/patients for the purpose of introducing Social Service+ services, provide information and direction related to benefits eligibility and application process, screen member/patient for interest in community social service resources, and may also provide members/patients with printed information regarding benefits or social service resources.
The Social Service+ Specialist will follow Centauri established processes to reconnect with members/patients to determine outcome of, and resolution of, member eligibility and application for local/state/federal social service benefits and ensure member/patient access to needed community social service resources. The Social Service+ Specialist will maintain current and active records of all member/patient contacts and effectively document interactions based on established Centauri procedures.
The Social Service+ Specialist makes a warm transfer to identified local community agency to assist member/patient expedite services and may also make a warm transfer to the client as indicated by identified need and contractual procedure.
- Responds to calls from client’s members or patients requesting assistance with determining eligibility for benefits or access to community social services.
- Engages members in standardized assessment to identify needs and eligibility for resources related to social determinates of health.
- Research, using identified database(s), benefits/community resources available to meet specific person’s needs.
- Provides options of resources to member and with members input, assesses which resource(s) will be accessible to member. Validates member’s understanding and recording of information provided.
- Assists the member/patient in accessing identified resources which may include a warm transfer to the identified agency.
- Where available, provides written information via email or mail to members/patient, identifying applicable social service community resources.
- Communicates with members/patients via phone, and clarifies the details of Centauri Health Services, properly sets expectations for process and communication to ensure member understanding.
- Leverages technology and account processing workflows; maintains data integrity with accurate and concise documentation in Cent Health Services Compass systems and contracted resource systems.
- Assists members and takes appropriate action to secure resources contracted by Centauri client.
- Follows established workflow for member follow-up contact to determine outcome and resolution of member identified needs.
- Provides warm transfer of member/patient to client as indicated by identified need outlined by contracted Centauri client.
- Documents all member…
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