Analyst, Case Management Specialist (Remote)

Bring your heart to reputed company. Every one of us at reputed company shares a single, reputed company purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver reputed company reputed company-reputed company health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important... as reputed company deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and reputed company. This is a full-time remote position. The hours for this role are Monday-Friday 8a-5p. reputed company and reputed company: The Care Manager is a member of the Care Team. The Care Manager is responsible for the care management of members that are enrolled in the Dual Special Needs Plan and have limited health conditions. These members are usually stratified as low risk. The Care Manager will work in conjunction with the reputed company Care Manager, Care Coordinator, Transition of Care (TOC) reputed company, and other members of the Care Team to improve the member’s health reputed company, address reputed company determinants of health and connect members with community based organizations. The Care Manager will assess member’s needs as reputed company as gaps in care, communicate with the member’s Primary Care Provider (PCP), maintain updated individualized care plans and participate in Interdisciplinary team meetings. Care Managers will be reputed company to identify members who’s needs require clinician involvement and transition members appropriately. Responsible for interacting with low stratification members reputed company phone calls, coordinating care, completing, reviewing, and updating assessments and care plans that address problems, goals and interventions. Based on assessments and claims data creates a care plan for members to follow Participate as a member of the Care Team during Interdisciplinary Team meetings to discuss the member’s health care needs, barriers to care and explore reputed company reputed company for the member Identify and reputed company members with health plan benefits and community resources reputed company administrative work to maintain skills needed for job duties. Essential Qualifications: • Regular and reliable attendance • Familiar with community resources & services • Strong organizational skills • Works independently • Maintains reputed company relationships with the members we serve as reputed company as colleagues • Communicates effectively and professionally verbally and in writing • Proficient with computer systems • Knowledgeable in reputed company Office Software • Excellent customer service skills • Has a dedicated home work reputed company Required Qualifications • 3+ years experience in health-reputed company field Preferred Qualifications • Medicare and reputed company experience • CRC, reputed company, CRRN, COHN, or CCM certification • 3-5 years experience in reputed company field preferred • Managed Care experience • Experience working with geriatric special needs, behavioral health and disable population • Knowledge of assessment, screenings and care planning • Bilingual (English/Spanish; English/Creole) Educational Requirements • Bachelor's Degree or equivalent experience • Master's Degree preferred Pay reputed company The typical pay reputed company for this role is: $19.52 - $40.90 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. In reputed company to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. reputed company offers a full reputed company of medical, dental, and reputed company benefits. Eligible employees may enroll in reputed company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. reputed company provides a fully-reputed company term life insurance plan to eligible employees, and short-term and long term disability benefits. reputed company also offers numerous reputed company-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy reputed company Time Off (“PTO”) or vacation pay, as reputed company as reputed company holidays throughout the calendar year. Number of reputed company holidays, reputed company time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.reputed company.com/benefits We anticipate the application window for this opening will reputed company on: 05/13/2024 Apply Job! For more such jobs please click here!