Case Manager Work From Home!

Job Overview:

The Care Manager acts as the sole communicator between member and Plan. Responsibilities include creating and reviewing of person-centered service plan with member/members family, coordination of covered and non-covered benefits, and ensuring our members have a positive member experience. Care Manager is responsible for health education and ongoing communication with members, at minimum monthly.













Essential Responsibilitie


- s:Ongoing communication with members, dependent on needs, at minimum monthl
- y.Follow up and respond to identified items requiring attention, including transition of car
- e.Provide health education to members and work together to improve/stabilize health and minimize hospitalization
- s.Communication and coordination of member care with members and family members as well as vendor agencie
- s.Provide excellent member experience and follow up on any member concerns or need
- s.Timely and thorough documentation in members’ chart
- s.Participates in team meetings and supervision session
- s.Other duties as identified as a necessary part of employee’s rol










e.



Specific Knowledge, Skills, and Abilit


- ies:Knowledge of member assessment proced
- ure.Knowledge of clinical review procedu
- res.Knowledge and understanding of health educat
- ion.Demonstrates ability to effectively communicate information with members of all ages and socioeconomic lev
- els.Ability to read and interpret documents. Ability to speak effectively with members and employees of the age










ncy.



Required Education, Experience, and Lic


- enses:The appropriate background in health care and/or long term
- care.RN or Master’s Degree in Social
- Work.Bilingual preferred (Spanish, Chinese, Arabic, Hindi, Ben
- gali).Hybrid schedule (3 days in office & 2 days re






mote).