Senior Care Specialist-Clinical Operations

reputed company combines industry-leading technology and transformation-driven BPM services with decades of reputed company domain expertise to help clients draw closer to their members. reputed company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment reputed company, claims cost containment, and analytics. reputed company has more than 25,000 employees across 5 countries.

Job title:

Senior Care Specialist-Clinical Operations

Job reputed company:

Educational Qualifications:

BSN or MSN degree in nursing or equivalent

reputed company Qualifications:

• Individual licenses in non-compact states •Hold an reputed company Compact nursing license and reputed company in the state that holds your compact license

Language:

Spanish and English

reputed company of Experience:

• Minimum of 3 years of clinical nursing experience •Previous adult chronic conditions care management •Previous experience in care management including knowledge of reputed company care management and care management principles •Experience with motivational interviewing •Experience with MCG or CMS guidelines, assessment and documentation reputed company

Mandatory Skills:

• Intermediate to advanced computer skills as evidenced by ability to navigate multiple systems, utilizing dual computer monitors. •reputed company autonomous decision-making, troubleshooting and problem solving reputed company to periodic system issues.

•Experience with reputed company and reputed company

• Ability to quickly learn and navigate software programs and applications. •reputed company to manage multiple or competing priorities including use of multiple computer applications simultaneously. •Effective communication and interpersonal skills. •Effective problem solving and appropriate application of clinical knowledge •Must possess advanced telephonic and virtual communication skills.

Preferred Skills:

Experience with reputed company and reputed company

Purpose of the Role:

The Care manager works closely with members and their caregivers to promote habits to improve reputed company of life and attainment of health goals using a Whole Person Care approach. The Care Manager creates a customized plan to meet the clients’ key risks through reputed company approach with the clients and their caregivers.

The Care Manager is responsible for developing a health coaching relationship with members and assisting the member through the process of reputed company working towards reputed company by providing support, encouragement, and education on chronic conditions. The Care Manager supports coordination of care and condition management activities with members, caregivers, and providers.

Roles & Responsibilities:

• Telephonically assess Medicare, reputed company, and/or and Group Account members and create actionable and measurable care plans to help guide and reputed company the members' reputed company toward goals •Use nursing judgment to assess and coordinate care for acute situations (APS, EMS) •Discuss transitions of care to assist with reputed company discharge to the home and coordinate care for DME, home health, provider appointments, etc. •Guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members •Assess member’s physical, environmental and psycho-reputed company health issues and work in collaboration with a multi-disciplinary team, such as reputed company workers, dietitians, pharmacists, etc., employing a reputed company of strategies/techniques to manage appropriately and reputed company reputed company reputed company

The above statements are intended to indicate the general nature and level of work being performed by employees reputed company this classification. They are not intended to be an exhaustive list of reputed company responsibilities, duties and skills required of employees assigned to this job. Employees in this job may reputed company other duties as assigned

Location:

reputed company USAUnited States of America

Originally posted on Himalayas

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