General Description
Responsible for conducting member assessments, educating members of plan benefits, and connecting members to community partner agencies and other community resources. The agent will work closely with various departments within HPMS to ensure regulatory compliance.
Duties & Responsibilities
Essential Functions:

• Conduct member assessment interviews and collect members' health history, primarily by phone.
• Clearly document responses, risks, and any barriers to accessing proper care in HPSM systems.
• Confirm receipt and validate completion of member assessments received via mail, telephone, fax, email, in-person, online, and external partners.
• Confirm member eligibility and special flag status, e.g., hospice status.
• Exhaust all resources and make robust outreach attempts to follow-up on open cases, including conducting member outreach by mail.
• C...