Health Underwriter reviews applications for coverage, gathers data, and assesses risk related to qualifying a candidate for health insurance. Calculates and recommends pricing. Being a Health Underwriter performs group and/or individual underwriting. May require a bachelor's degree. Additionally, Health Underwriter typically reports to a supervisor or manager. The Health Underwriter gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Health Underwriter typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)
Duties and Responsibilities:
· Conveys the purpose of the program to the patients and the impact that the service will have on their medical care and outcomes.
· Helps patients develop health management plans and goals through assessment tools to identify individual patient needs.
· Follows-up with health management plan and goals with both the patient and providers.
· Coaches patients in effective management of their chronic health conditions and self-care habits, such as preventing and managing uncontrolled diabetes.
· Assist patient in understanding plan of care, medications, self-management activities and instructions.
· Documents patient vital signs, activities, plan of care and results in the electronic medical record in an effective manner while strictly adhering to the policies and procedures in place.
· Works collaboratively and effectively within a team.
· Establishes positive, supportive relationships with participants and provide feedback.
· Helps patients in utilizing resources, including scheduling appointments, and assisting with completion of applications for programs for which they may be eligible for to improve health outcomes.
· Assists individuals with self-management of chronic health conditions and medication adherence
· Assists patients in accessing health related services and overcoming barriers to obtaining needed medical care, social determinants of health and services.
· Facilitates communication and coordinate services between providers.
· Motivates patients to be active, engaged participants in their health.
· Works effectively with people (staff, clients, providers, agencies, etc.) from diverse backgrounds in reducing cultural and socio-economic barriers for patients.
· Conducts intake assessments and educational and health maintenance sessions at the convenience of the patient in the patient home, office, through telephone or other designated area.
· Builds and maintains positive working relationships with the patients, providers, nurse case managers, agency representatives, supervisors and office staff.
· Continuously expands knowledge and understanding of community resources, services and programs provided in the community as well as within Tandem Health.
· Confers as needed and on a timely basis with health center providers regarding patient issues and concerns.
· Collects, reports, and enter data for purposes of evaluating CHW activities and completing grant reporting.
· Identifies patients at risk for poor adherence.
· Communicates with patients after a hospital discharge to follow up on treatment plans.
· Helps patients connect with transportation resources.
· Acts as a patient advocate and liaison.
· Attends regular staff meeting, trainings and other meetings as requested.
· Manages assigned caseload of patients.
· Other duties as assigned.
Qualifications:
Education and Experience:
· High School Diploma or its equivalent required.
· Experience working as a medical assistant in a primary care setting preferred.
· Experience working in a community-based setting for at least 1-2 years preferred.
· Must be willing to seek Certification for Community Health Worker in accordance with the South Carolina state-approved certification process.
· Current South Carolina driver's license required. Driving record must meet Tandem Health insurance standards upon employment, and continually thereafter.
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