About the role

  • Provide care coordination to members via telephonic and/or field-based care management
  • Inform and educate members on health care programs to address personal health needs
  • Engage members in discussion of adherence to personal health goals
  • Respond to inquiries from members and support clinical operations with provider and member activities
  • Complete member telephonic and/or field-based health screenings that do not require clinical judgement
  • Perform care planning duties which may require visits to members’ homes and/or facilities
  • Develop written correspondence to members and department personnel
  • Use Microsoft Office applications and clinical systems to document and manage cases
  • Coach and educate members using motivational interviewing and patient education techniques
  • Coordinate with providers and other teams to manage member healthcare-related needs

Requirements

  • Bachelor’s degree in nursing, social work, counseling, human-services or social sciences OR LVN/LPN and 1 year of related experience OR 3 years of equivalent experience in managed care, a state care coordination or waiver program
  • Knowledge of healthcare terminology
  • Experience coordinating member healthcare related needs and analyzing member needs
  • PC proficiency including Microsoft Office applications and clinical systems
  • Customer service skills
  • Verbal and written communications skills, including developing written correspondence
  • Coaching skills, including motivational interviewing
  • Current unrestricted driver's license, transportation and applicable insurance
  • Direct clinical experience (preferred)
  • Experience with Developmental Disability & Fragile Waivers (preferred)
  • Patient education experience (preferred)
  • Condition Management experience (preferred)
  • Bilingual in English and Spanish (preferred)
  • Experience in managing complex or catastrophic cases (preferred)
  • Certification in Case Management, Training, Project Management or nationally recognized health care certification (preferred)
  • Government Programs experience (preferred)
  • This position requires onsite visits to members
  • Must reside within 250 miles of the office or anywhere within the posted state (Telecommute/Remote)

Benefits

  • Health and wellness benefits
  • 401(k) savings plan
  • Pension plan
  • Paid time off
  • Paid parental leave
  • Disability insurance
  • Supplemental life insurance
  • Employee assistance program
  • Paid holidays
  • Tuition reimbursement
  • Other incentives
  • Annual incentive bonus plan
  • Curated development plans and professional development opportunities

Job title

Government Programs Care Manager I

Job type

Experience level

Junior

Salary

$20 - $44 per hour

Degree requirement

Bachelor's Degree

Location requirements

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