BadgerCare Plus Coordinator

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    GHCSCW Group Health Cooperative of South Central Wisconsin

    Better Together

    GHC-SCW is committed to a diverse workforce, and we are proud to be an equal opportunity employer. Persons of color and women are strongly encouraged to apply.  We believe there is strength in diversity.

    The BadgerCare Plus Coordinator serves as the designated HMO advocate and works with both members, Group Health Cooperative of South Central Wisconsin (GHC-SCW) staff and other providers to assist members to better navigate the health care system through outreach and connection to community resources.  The incumbent provides assistance to other GHC-SCW departments as to the benefits and/or enrollment status of GHC-SCW members when issues of coverage or issues related to the benefit package of a particular BadgerCare Plus program arise.  The BadgerCare Plus Coordinator will recommend and assist in the design of programs to improve various access issues, such as timely prenatal care, completion of well child exams and other clinical measures such as tobacco cessation, diabetes and asthma.  The BadgerCare Plus Coordinator is responsible for telephone and face-to-face outreach and follow-up to BadgerCare Plus members for arranging appointments, transportation, and for providing resources for outside health services such as dental, mental health (if they are not a GHC-SCW member), pre-natal care coordination for high risk members and translation needs.  The incumbent will work closely with Access Community Health Centers, UW Family Medicine Clinics, and the Madison Metropolitan School District and will represent GHC-SCW at community events. The incumbent will also participate on GHC-SCW Charter and/or other committees, as appropriate, and provide the perspective of the BadgerCare population that GHC-SCW serves to other GHC-SCW committee members.  The incumbent performs the job responsibilities with a health equity framework, independence in decision making and under the general guidance, direction and supervision of the Community Care and Health Equity Manager.

    The incumbent knows and abides by all Group Health Cooperative of South Central Wisconsin organizational and departmental policies, sets personal standards and strives for high quality work in completing assignments, performs job duties in a timely manner, and represents the organization in a positive manner. The incumbent understands our Mission, Vision and Common Values (stated below) and is committed to promote these values in behavior and attitude.

    Our Mission Statement:    To provide accessible, comprehensive, high quality healthcare and outstanding service in an efficient and personalized manner on a prepaid basis to persons in the GHC-SCW service area.

    Our Vision:  To be a leader among HMO’s in providing high-quality medical care, impeccable service and competitive benefit levels and premium rates.

    Our Common Values:

    ·         Patient Centered:  When health insurers and health care providers are brought together under one roof, we are better together.   Our care team model focuses on supporting the needs of our patients/members and providing the best in safe, high quality coordinated health care.  Members and their providers participate in making meaningful decisions that lead to better outcomes.

    ·         Quality Driven:   When members and their providers each participate meaningfully in the decisions that lead to better health care, we are better together.  GHC-SCW continues its tradition of providing proactive health promotion and disease management outreach to our members to consistently achieve high quality health care accreditation.

    ·         Innovation: When we work to lift each other up, show appreciation and collaborate in the best interests of the member, we are better together.   GHC-SCW has made innovative advancements which include the implementation of an electronic medical records system (EMR) and GHC-SCW MyChartSM, access to innovative Complementary Medicine benefits and Wellness reimbursement services.

    ·         Community Involved: When we join with our community to further the causes for which we share a common concern, we are better together.   We are proud to promote programs that strengthen lives, and make our community a safer, stronger and healthier place to live and grow. GHC-SCW employees share their time and talent; and we recognize that the value of what we give is also what we gain – for our employees, our members and our community.

    ·         Not for Profit Cooperative:    When we share a common purpose, a common voice and a common vision, we are better together.   We use our surpluses to improve clinics, enhance health care benefits and give back to the community.  Our members, not our profits, are our priority.   We have a unique “cooperative” governance structure which works directly for our members.
    JOB SPECIFIC QUALIFICATIONS:

    1.     Bachelor’s degree from an accredited college or university in a relevant major such as Social Work, Healthcare, or equivalent combination of relevant education and experience is required.

    2.     Minimum of two (2) to three (3) years of relevant clinical or community based experience in healthcare delivery, social service or related setting is required. Experience as a community advocate, social worker or case manager is preferred.

    3.     Possession of current State of Wisconsin Driver license with a good driving record, access to a vehicle, and the ability to travel is required.

    4.     Access to telephone line for work purposes only is required.

    5.     Ability to work with a diverse patient population is required.

    6.     Excellent customer services skills are required. Ability to be culturally sensitive and approach members and others in a non-intimidating and supportive manner, and the ability to represent GHC-SCW in a professional and compassionate manner is required.

    7.     Knowledge of the BadgerCare programs and the ability to learn GHC-SCW’s services and benefits is required.  Knowledge of community, state and federal agency resources in order to assist the member and family achieve the highest possible level of functioning and service is required.

    8.     Knowledge of or ability to learn about general disease categories and socio-emotional impact, treatments, clinical care practices, pharmacological and medical terminology is required.

    9.     Knowledge of or ability to learn about healthcare delivery systems including insurance and managed care.  Ability to keep abreast of legal and regulation changes affecting the delivery of healthcare is required.

    10.  Ability to function independently to meet organizational BadgerCare Plus goals is required

    11.  Ability to use a personal computer required. Knowledge of or ability to learn and use various computer programs including word processing, email, scheduling/calendar and databases is required.   Ability to use MS Office preferred.

    12.  Ability to learn and use EPIC Systems Computerized Appointment Scheduling system is required.

    13.  Ability to maintain confidentiality is required.   Knowledge of or ability to learn HIPAA requirements.

    14.  Excellent verbal and written communication skills and outstanding customer service skills are required.

    15.  Excellent problem solving and organizational skills are required.

    16.  Ability to listen, trouble-shoot, and be flexible is required.

    17.  Ability to work efficiently and under stressful situations is required.

    18.  Ability to work collaboratively and as a member of a team.

    19.  Ability to work harmoniously and cooperatively with the public and all GHC-SCW staff is required.

    20.  Evidence of the ability to understand and work closely with community contacts and resources is required.

    21.  Ability to work a flexible schedule to meet customer needs is required. May occasionally include some weekends and evening hours for community events.

    AA/EOE

    To apply for this job please visit the following URL: https://ghcscw.com/careers →