Care Manager

Sagility

1d•Remote

About The Position

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries. The Sagility team is currently hiring an OTR/L, OTA, or PTA for the role of Care Manager. The Care manager works closely with members and their caregivers to promote habits to improve quality of life and attainment of health goals using a Whole Person Care approach. The Care Manager creates a customized plan to meet the clients’ key risks through collaborative approach with the clients and their caregivers. The Care Manager is responsible for developing a health coaching relationship with members and assisting the member through the process of actively working towards better health by providing support, encouragement, follow up, and education on chronic conditions. The Care Manager supports coordination of care and condition management activities with members, caregivers, and providers.

Requirements

Bachelor’s Degree in Occupational Therapy (OTR) Associates Degree (OTA or PTA)
Minimum 2-4 years’ clinical experience with patient assessments and creating care plans
Minimum of 2-4 years supervising OTAs (OTR)
Experience utilizing Motivational Interviewing techniques and behavioral change theory to facilitate member adoption of positive changes and improve health.
Experience working with the Medicare population.
Experience as an OT or PTA working with a geriatric, frail population
Excellent interpersonal skills
Ability to understand and interpret policy provisions.
Product knowledge
Typing Skills
Problem Solving Skills
Proficient computer skills
Demonstrates empathy
Strong organizational skills
Strong member advocate: willing to go above and beyond normal responsibilities to provide the best service possible
Ability to assist member in navigating the healthcare system and community-based resources
Culturally sensitive and competent for assigned membership
Strong organizational skills; ability to multi-task and be nimble
Ability to work remotely
Ability to determine when to escalate issues appropriately and in a timely manner

Responsibilities

Develop a trusting relationship with members to support the member through the process of changing behavior and improving management of their health by utilizing motivational interviewing techniques and change management concepts
Assist in coordinating members’ relationships with multiple service systems. This may include activities such as: Educational resources, Recommendations for functional adaptations, durable medical equipment, and care coordination for other skilled interventions and preventive services. Recommendations for follow up care with physicians and specialists as clinically indicated.
Present health education in a culturally appropriate format. For example, teaching a member how to prepare traditional foods using less fat
Provide social support to improve members’ adherence to medical treatment plans
Encourage the member in adoption of habits that are conducive to improved management of their chronic condition
Develop an individualized plan including goals and plan of action
Serve as a clinical resource to Care Management team members and Utilization Management team members