• Reach out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc. • Create cases, tasks, and complete documentation in the case management module for all hospital and skilled nursing facility (SNF) discharges • Comply and document tasks assigned by nurse • Work as a team with the case manager to engage and manage a panel of members • Manage new alerts and update case manager on changes in condition, admission, discharge, or new diagnosis • Establish relationships with members, earn their trust and act as patient advocate • Escalate concerns to nurse if members appear to be non-compliant or there appears to be a change in condition • Assist with outreach activities to members in all levels of case management programs • Assist with maintaining and updating members' records • Assist with mailing or faxing correspondence to members, primary care physicians (PCP), and / or Specialists • Request and upload medical records from PCP’s, specialists, hospitals, etc. • Meet specific deadlines (respond to various workloads by assigning task priorities according to department policies, standards, and needs) • Maintain confidentiality of information between and among health care professionals