Healthfirst

**Duties and Responsibilities:** + Conduct outreaches for newly enrolled members to review current and approved services, durable medical equipment (DME) and additional requests + Review intake documents for pre-approved services and escalate discrepancies as needed + Complete Welcome Onboarding and Consumer Directed Personal Assistant Assessments and identify any issues or risk factors that require clinical escalations to a CM/PCM. + Initiate and finalize authorization in Trucare for preapproved services and DMEs and update and discontinue authorizations when applicable + Handle and accurately document calls to and from members to assist with benefit questions/issues, schedule appointments, assessment inquiries, service issues and grievances + Handle and accurately document calls to and from providers regarding authorizations initiation/updates, referrals, visits, tests, and faxed care plans + Provide education to members and providers regarding...