86Borders

• Conduct outreach to motivate, facilitate, and educate members about the benefits of programs • Conduct assessments of the member’s status and develop a care plan with the member to address their goals • Assessments are conducted by telephone and/or text • Evaluate individual member care needs and communicate medical information to health care professionals • Manage a caseload of members to ensure expedient contact is made with each member • Facilitate coordination of care with providers and schedule appointments as needed • Motivate members to be active and engaged participants in their health and overall well-being • Identify and help address needs related to Social Determinants of Health • Coordinate and complete correspondence according to established workflows • Thoroughly and accurately document actions taken in a care management platform • Make a high volume of outreaches to members, families, providers, or other recipients as needed to successfully perform the role.