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Member & Customer Service Support:
- Serves as a primary point of contact for members, caregivers, and providers, ensuring professional and culturally sensitive interactions.
- Explains scheduling processes and expectations, reinforcing trust and engagement.
Scheduling & Care Coordination:
- Coordinates and schedules nurse case management activities.
- Supports nurse case managers and navigators by managing appointment logistics and coordination.
- Tracks appointment completion and escalates delays as appropriate.
Clinical Workflow & Documentation Support:
- Supports accurate and timely documentation by entering data into designated systems.
- Uses technology to document scheduling actions and communicate updates.
Interdisciplinary Team Support:
- Works closely with Care Teams as part of an interdisciplinary care team model.
- Participates in team meetings and care coordination discussions.
Fallon Health
Fallon Health is dedicated to providing equitable, high-quality, coordinated care to its members and is consistently recognized as a top health plan for member experience, service, and clinical quality. With roots dating back to 1977 in Worcester, Massachusetts, they focus on government-sponsored health insurance programs and value diversity and inclusion.