Buscamos un Especialista en Atención al Paciente para garantizar citas y procedimientos en Allevio Care. Creando interacciones positivas y significativas con los pacientes.
About the role
- Lead Care Manager overseeing case management for members and their families in enhanced care. Collaborating with healthcare providers to improve health and wellbeing through tailored care services.
Responsibilities
- The LCM is responsible for an assigned caseload of adult and pediatric members
- Conduct comprehensive assessments to determine the physical, emotional, and social needs of members
- Develop individualized care plans based on assessment findings, considering medical history, preferences, and specific needs
- Tailor care plans to individual needs and goals
- Coordinate and facilitate communication between healthcare providers, social workers, therapists, and other members of the care team to ensure a comprehensive and integrated approach to care
- Collaborate with Medical Doctors, Clinical Consultants, Housing Navigators and Leaders to make recommendations tailored to member needs
- Monitor the progress of members and update care plans as needed per policy and compliance requirements
- Ensure prescribed treatments and interventions are being followed and communicate to PCP and specialty care providers any significant changes to member concerns along with any updates on member status
- Provide positive member client service experience through multiple support channels including telephone and in-person
- Maintain accurate and up-to-date records of assessments, care plans, and interactions with members
- Ensure compliance with relevant regulations and standards
- Complete all required documentation accurately, in a timely manner and in accordance with company standards
- Provide leaders with case progress periodically/required basis
- Advocate for patients or clients, helping them navigate the healthcare system, understand their treatment options, and access the services they require
- Provide education to members and their families on health-related topics, treatment options, and self-care strategies
- Identify and connect members with appropriate community resources, support services, and programs to address their needs, such as housing assistance, financial aid, or counseling services
- Plan and coordinate the discharge process for members leaving hospitals or long-term care facilities, ensuring a smooth transition to home or another care setting
- Participate in training new employees
- Perform other duties as assigned or required per departmental policy
Requirements
- Associate degree and 2+ years of healthcare or care coordination experience
- Current and valid Driver’s License
- Proof of auto insurance
- Current BLS certification from the American Heart Association upon start date
- Distraction-free home workspace with a secure internet connection
- Fluent in English (written and verbal), Bilingual in Spanish
- Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear and concise manner
- Adequate hearing and vision (with corrective devices if necessary) to conduct assessments and documentation
- Ability to identify problems and use logic and related information to develop and implement solutions
- Excellent organizational skills and attention to detail
- Ability to work independently and carry out assignments to completion within the parameters of established policies and procedures
- Competent with computers, email, virtual platforms, and Microsoft Office based programs
Benefits
- Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan
- Paid Time Off: 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, reproductive loss, and therapy
- Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model
- Prioritize your mental health with unlimited therapy sessions funded 100% by Titanium Healthcare
- Flexible Spending, Health Savings & Dependent Care Accounts
- Life/AD&D insurance funded 100% by Titanium Healthcare
- Supplemental Short-Term Disability
- Employee Assistance Programs
- Protect your pet(s) with Pet Insurance
- 401(k) plan
Job title
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