Care Manager

ManagerManagerFull TimeRemoteTeam 1,001-5,000Since 30+ yearsH1B SponsorCompany Site LinkedIn

Location

United States

Posted

81 days ago

Salary

$62.7K - $100.4K / year

Bachelor Degree3 yrs expEnglish

Job Description

• Collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual • Facilitate communication, coordinates care and service of the member through assessments, identification, person-centered planning • Assist the member in creation and evaluation of person-centered care plans • Engage the member and their natural support system through strength-based assessments using a trauma-informed care approach • Develop and regularly update a person-centered individualized care plan (ICP) in collaboration with the ICT • Monitor and promote effective utilization of healthcare resources through clinical variance and benefits management • Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies

Job Requirements

Nursing degree from an accredited nursing program or Bachelor’s degree in a health care field or equivalent years of relevant work experience
A minimum of three (3) years of experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required
Three (3) years Medicaid and/or Medicare managed care experience is preferred
Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Professional Clinical Counselor is required.
Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice

Benefits

Comprehensive total rewards package
Bonuses tied to company and individual performance

Related Categories

Remote Manager Jobs in the US

Related Job Pages

Remote Manager Jobs in the US Remote Full-time Jobs (US)More US Remote Jobs

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Unisys

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Manager81 days ago