Job Description
SUMMARY/OBJECTIVE: A Care Team Specialist is responsible for managing the member’s clinical experience from the point of request, through the desired outcome.
RESPONSIBILITIES:
- Activate new member account, draft member medical history and identify the goal of the consult
- Accurately enter necessary information into Case Management Software
- Identify appropriate medical records needed and follow 2nd.MD protocol for release of information forms
- Work closely with HIT (Health Information Technician) to organize medical records for specialist
- Identify the most appropriate 2nd.MD Specialist relative to the member’s condition and goal of the consult
- Coordinate video or phone consult with member and specialist
- Schedule 2nd.MD Monitor in advance of consult
- Troubleshoot and address issues prior to consult as needed
- Conduct ongoing follow-up, immediately after the consult and as needed to ensure member achieves the desired outcome
- Review specialist notes post-consult and make available to member
- Facilitate local recommendations as needed, and communicate with local primary care physician or specialist post-consult as needed
- Participate in weekly Care Team meetings
- Assist Account Management in enhancing vendor partner relationships
- Company Lead Case Manager assumes the liaison role, ensuring ongoing communication and reporting to the designated company
- Assist Nurse Manager and Chief Clinical Officer with special projects as needed
- Identify appropriate cases for testimonials