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Member Support Specialist Team Lead
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- Supervise and provide guidance to Case Management Member Support Services team members including Member Support Services, Representatives, and other support staff regarding company policies, procedures, and workflow.
- Assure Medicaid Case Management Member Support Services processes, production and quality meet department and company standards.
- Work collaboratively with the case management team to help facilitate case management processes, Integrated Care Management meetings and assist in other case management/care coordination meetings.
- Perform provider/community partner and staff education and introductory meetings and presentations, including PacificSource mission and business, Intensive Care Coordination Services and Special Health Care Needs, Case Management processes, community resources and social determinants of health, member plan information, as well as contacting appropriate PacificSource representatives for assistance.
- Investigate and settle issues not resolvable by Member Support Specialist and Case Management staff.
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