Support Specialist Bilingual English Mandarin or Cantonese

Description and Requirements

The Support Specialist is responsible for assisting the primary care/case managers (PCM/CM) with non-clinical activities such as providing telephonic outreaches to members for completion of service assessments, outreaches to providers and community-based organizations regarding service initiation and/or continuation, handling member mailings; faxing clinical requests and approved authorized service plans.

Duties and Responsibilities:

Conduct outreaches for newly enrolled members to review current and approved services, durable medical equipment (DME) and additional requests

Review intake documents for pre-approved services and escalate discrepancies as needed

Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments and identify any issues or risk factors that require clinical escalations to a CM/PCM.

Initiate and finalize authorization in Trucare for preapproved service...