Lucent Health

Account Manager

• Provides clients with appropriate resources to address member benefit needs and questions by being the main day to day contact for escalated claims, billing and enrollment questions
• Focuses on retaining existing business with excellent customer service
• Assists in identifying opportunity to improve client and member experience
• Provides administrative and customer service support to the main Employer contact/Plan decision makers
• Supports Senior Account Executive staff with New Business and Renewal implementation tasks
• Assists in reporting requests: Weekly, Monthly and Quarterly specialty plan analysis reporting
• Assists with end of contract Stop Loss review
• Assists with special projects as necessary (Example: Sales RFP requests)

Manager

• Work with the entire team to provide appropriate, comprehensive, and proactive onsite and telephonic case management services
• Define role and scope of activities to the patient in a comprehensible manner
• Gather consent for case management activities and determine individual needs based on an assessment
• Create an individualized plan of action based on the assessment and facilitates treatment coordination
• Set appropriate, measurable goals and provide the patient with information to empower decisions
• Develop contingency plans and monitor the provision of the coordinated plan
• Evaluate plan on a regular basis to determine effectiveness and patient's needs
• Refer to only those providers that ensure high quality
• Identify and coordinate resources to ensure success of the plan

Complex Case Manager, RN

• Performs all phases of the case management process which shall include: Assessment
• Planning and Coordination: Creates an individualized plan of action based on the assessment
• Implementation and Monitoring: Implements a plan that is based on the assessment.
• Evaluation: Evaluates plan on a regular basis to determine effectiveness, patient satisfaction, provider comfort.

Account Manager

Complex Case Manager, RN

Maternity Case Manager, RN