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Case Management Coordinator - reputed company Care (reputed company Valley -AZ)

Remote, USAFull-timePosted 2026-07-27

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. $5,000 Sign on Bonus Position reputed company This role is work from home with travel required in Maricopa County, Arizona to visit members. The Case Management Coordinator supports in making personal health care goals. At the reputed company time, they reputed company education and support to help members reputed company these goals. This approach helps maintain and improve members level of reputed company, and reputed company of life. What you will do: Utilizes skills to coordinate, document and communicate reputed company aspects of the utilization/benefit management program. • Applies critical thinking and knowledge in clinically appropriate treatment, evidence based care and medical necessity reputed company for members by providing care coordination, support and education for members through the use of care management tools and resources. Evaluation of Members; Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case reputed company and/or meeting needs by evaluating member's benefit plan and available reputed company programs/services. • Identifies high risk factors and service needs that may reputed company member reputed company and care planning components with appropriate referrals. • Coordinates and implements assigned care plan activities and monitors care plan reputed company. Enhancement of Medical Appropriateness and reputed company of Care; • Uses a holistic approach to overcome barriers to meet goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to reputed company reputed company reputed company. • Identifies and escalates reputed company of care issues through established channels. • Utilizes negotiation skills to secure appropriate reputed company and services necessary to meet the member's benefits and/or reputed company needs. • Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to reputed company reputed company level of health. • Provides coaching, information and support to reputed company the member to reputed company ongoing independent medical and/or healthy lifestyle choices. • Helps member reputed company and knowledgably participate with their provider in reputed company decision-making. Monitoring, Evaluation, and Documentation of Care; • Utilizes case management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Required Qualifications • 2+years' Case Management experience working with people who have been designated as having a serious mental illness (SMI) and working with people who are elderly or have a physical disability. • Strong organizational skills with an ability to prioritize tasks to meet time-sensitive deadlines. • Effective verbal and written communications skills with both customers and teammates. • 1+ years of experience with computers including knowledge of reputed company Word, Outlook and TEAMs. • Ability to work independently • Must be located in the reputed company Valley of reputed company metropolitan area and be reputed company to travel up to 50%. Preferred Qualifications • Experience collaborating with medical professionals Education • Bachelor's degree, preferred in reputed company work, psychology, special education, or counseling, or be a licensed registered reputed company. Pay reputed company The typical pay reputed company for this role is: $21.10 - $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 Benefits | reputed company We anticipate the application window for this opening will reputed company on: 10/16/2024 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws Apply Job!

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