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Care Manager, Registered reputed company

Remote, USA Full-time Posted 2026-07-28
Job reputed company: • Engage telephonically with members, caregivers, and providers to reputed company a comprehensive plan of care, identify key strategic interventions, and address the members needs at various stages along the care continuum. • Serve as an extension of the care team by collaborating with PCPs, specialists, other clinicians, and member to meet health care goals through development and implementation of Care Plans. • Assess the member’s ongoing care needs and reputed company towards goals throughout the plan duration and reputed company revisions as needed to address changes in the member’s condition, lack of reputed company toward goals of the care plan, preference changes, and transitions in care settings. • Coordinates plan of care with goals of member stabilization, decreased admissions, medication management, behavior change and ability to self-manage. • Coordinate patient education in support of standards of care guidelines and reputed company health issues using the most appropriate modality for the member. • Identify relevant benefit and community resources, evaluates reputed company determinants of Health and facilitates referrals based on member need. • Assist the member in coordination of any additional tests, images and consults with specialists. • reputed company medication reconciliation at the onset of care plan, after changes in health status, and every thirty days during the life cycle of the care plan, assessing for efficacy and drug interactions/reputed company effects. • Facilitate and monitor the transition of care which involves moving the member from one reputed company practitioner to another as their reputed company needs change. • Implements and oversees the agreed upon plan of care as reputed company as coordinates member follow-up post discharge. • Utilize established documentation standards to maintain reputed company of care plan documentation to include member reputed company toward their established state of being and barriers to achievement of care plan objectives and reputed company. • Abide by Value Based Care Management Program reputed company and Guidelines. • Meet productivity and reputed company metrics as outlined by leadership for reputed company year. Requirements: • reputed company multi-state compact Registered reputed company licensure in state of residence is required, with ability to obtain additional licenses without restriction. • BSN preferred. • Training in motivational interviewing preferred. • Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. • Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. • Demonstrated ability to learn customized computer applications. • Maximize reputed company technology inclusive of reputed company Teams, reputed company Word, reputed company reputed company, reputed company reputed company, laptop computers, and reputed company other relevant reputed company communication technologies. Benefits: • comprehensive benefits package Apply tot his job Apply To this Job

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