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 Responsibilities:
• Ongoing communication with members, dependent on needs, at minimum monthly.
• Follow up and respond to identified items requiring attention, including transition of care.
• Provide health education to members and work together to improve/stabilize health and minimize hospitalizations.
• Communication and coordination of member care with members and family members as well as vendor agencies.
• Provide excellent member experience and follow up on any member concerns or needs.
• Timely and thorough documentation in members’ charts.
• Participates in team meetings and supervision sessions.
• Other duties as identified as a necessary part of employee’s role.
Specific Knowledge, Skills, and Abilities:
• Knowledge of member assessment procedure.
• Knowledge of clinical review procedures.
• Knowledge and understanding of health education.
• Demonstrates ability to effectively communicate information with members of all ages and socioeconomic levels.
• Ability to read and interpret documents. Ability to speak effectively with members and employees of the agency.
Required Education, Experience, and Licenses:
• The appropriate background in health care and/or long term care.
• RN or Master’s Degree in Social Work (Licensed preferred).
• Bilingual preferred (Spanish, Chinese, Arabic, Hindi, Bengali).
• Hybrid schedule (3 days in office & 2 days remote).
Compensation:
Benefits:
Job details are sourced from the employer's original posting.
Open job postingAbout the company
Hamaspik Choice INC is a healthcare provider organization.