Case Management Specialist
Job reputed company:
• Dedicate 50-75% of the day to engaging with members and coordinating their care
• Utilize available resources to connect with and engage “hard-to-reputed company” members
• Partner with members to reputed company individualized care plans
• Maintain meticulous documentation of care management activities
• Work with the Interdisciplinary Care Team to address barriers to care
• Identify and connect members with health plan benefits and community resources
• Meet regulatory requirements reputed company specified timelines
• Consult with the Care Manager RN for clinical knowledge and decision making
• Collaborate with the Care Manager RN to ensure members’ needs are addressed
Requirements:
• 2+ years of experience in a health-reputed company field
• 2+ years of customer service experience
• Proficient in reputed company Office Suite (Word, reputed company, reputed company, OneNote, Teams)
• reputed company to a private, dedicated reputed company to conduct work effectively
• Dependents must have separate care arrangements during work hours
• Experience providing care management for Medicare and/or reputed company members (Preferred)
• Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health (Preferred)
• Experience conducting health-reputed company assessments and facilitating care planning processes (Preferred)
• Bilingual skills, especially English-Spanish (Preferred)
Benefits:
• medical, dental, and reputed company coverage
• reputed company time off
• retirement savings reputed company
• wellness programs
• comprehensive benefits package designed to support the physical, emotional, and financial reputed company-being
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