Health Survey Specialist / Service Advocate
Work location: FL-Arcadia|NY-New York|NC-High Point|CT-Hartford|OH-New Albany|IN-Ft Wayne|MI-Grand Rapids|TX-San Antonio|IL-Chicago|KS-Lenexa|CA-Fresno|OR-Portland|UT-Sandy Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Dual Eligible Special Needs Plan (DSNP) members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand DSNP to change lives in new markets across the country. The Health Survey Specialist plays a critical role within the DSNP team. The Health Survey Specialist outreaches DSNP members via phone to introduce the DSNP services and complete the Health Risk Assessment (HRA). The HRA is the first step in creating the member’s Individualized Care Plan and sets the foundation for follow up care management by assessing a member’s medical, functional, cognitive, psychosocial, and mental health needs. Other responsibilities include but not limited to: • Uses motivational interviewing and other consultative techniques to gather comprehensive information about a member’s medical, functional, cognitive, psychosocial, and mental health needs • Accountable to the highest level of compliance integrity • Champions for the member by connecting members with urgent needs to the appropriate Aetna team, including DSNP’s interdisciplinary care team and customer service • Initiates engagement with assigned members to introduce the program and drive active participation in completion of their Health Risk Assessment