• Understands and analyzes contract requirements to identify available clinical resources for a site. Works with Site Management directly or indirectly to compose standard number of clinician schedules based on assigned contracts and needs in a way that meets schedule requirement while minimizing excess compensation. Keeps Site Management apprised of schedule status on a regular basis, engaging their support as needed.• Educates clinicians on scheduling protocols and guidelines. Develops strong relationships with clinicians communicating via the phone, text and email to understand their needs and gain commitments to fill needed shifts. Leverages relationship to persuade and influence clinicians to take on additional shifts. Networks with clinicians to obtain clinician referrals to assist in filling shifts.• Within the scope of the Schedulers established authority limits, analyzes the situation and independently negotiates with clinicians to obtain commitments to fill shifts on an emergency basis while minimizing Increased Compensation. Escalates excess clinician compensation requests to appropriate management for approval.• Establish strong relationships with internal and external team-members. Work closely with credentialing, enrollment, recruiting, payroll or client administration to communicate schedules, following up on a new provider to ensure completion of the process before scheduling for the first shift, or communicate schedule status or problems.• Problem solves with scheduling team members to brainstorm issues, establish best practices, new approaches and provides support in filling shifts.• Enters schedules into company data base and distributes as necessary within established deadlines; reconciles and tracks work hours for all clinicians and submits information to payroll for processing; and provides various reports to management as requested on a timely basis.• Works On-call on a rotational basis, to cover evening, weekend or holiday emergencies.

• Worked Special Needs (SNP) Campaign• Access EMR• Conducts telephonic assessment, Address member healthcare needs, Refer members to appropriate resources, Create Care Plans for member based on health risk concerns. • In response to assessments, coach and problem solve with member to identify and address specific goal(s) to support health and behavior change. In addition, provide appropriate interventions to optimize health and well-being. • Interventions which may include education, the coordination of community based support services, national resource; Integrated Voice Response (IVR) programs; or the intervention of a Field Care Manager (FCM). • Collaborate with other members of the Humana Cares interdisciplinary team to include; Humana Cares Manager-RN, Humana Cares Manager-Social Services, Field Care Manager and Community Health Educator. • Serve members and implement the Model of Care, understand the clinical program design, program monitoring and reporting.

• Patient Triage- Prioritizing patients’ need based on the urgency of care. • Order specialty medications and durable medical equipment.• Obtain authorizations for in office and out-patient procedures such as allergy testing, allergy immunotherapy and other out-patient procedures (such IVIG/Gammagard infusions).• EMR• Verify active coverage, benefits and limitations for multiple insurance carriers for new and established patients.• Accounts Receivable.• Schedule new and established patient appointments