Professional, Case Management
About The Position
Qualifications you'll bring: Bachelor's degree in a related field (e.g., nursing, social work). Certified Case Manager (CCM) is required within 2 years of employment. Previous experience in care/case & disease management or a related healthcare role. Strong assessment and care planning skills. Knowledge of healthcare systems, insurance processes, and community resources. Ability to prioritize and manage multiple cases simultaneously. Strong problem-solving and critical-thinking abilities. Compassionate and empathetic approach to client care. Knowledge of Transition of Care (TOC) Knowledge of HEDIS & Quality Measure Knowledge of Government Programs Curiosity to foster innovation and pave the way for growth Humility to play as a team Commitment to being the difference for our customers in every interaction Your key responsibilities: Conduct thorough assessments of client needs and develop individualized care plans. Coordinate and facilitate access to appropriate healthcare services and resources. Collaborate with healthcare providers, insurance companies, and other stakeholders to ensure seamless care coordination. Monitor client progress and adjust care plans as needed. Provide education and support to clients and their families to promote self-management and empowerment. Maintain accurate and up-to-date documentation of client interactions and interventions. Participate in case conferences and team meetings to discuss client progress and develop strategies for improvement. Stay current with industry trends and best practices in case management. Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer. Where you'll be: Virtual in NYS
Requirements
- Bachelor's degree in a related field (e.g., nursing, social work).
- Certified Case Manager (CCM) is required within 2 years of employment.
- Previous experience in care/case & disease management or a related healthcare role.
- Strong assessment and care planning skills.
- Knowledge of healthcare systems, insurance processes, and community resources.
- Ability to prioritize and manage multiple cases simultaneously.
- Strong problem-solving and critical-thinking abilities.
- Compassionate and empathetic approach to client care.
- Knowledge of Transition of Care (TOC)
- Knowledge of HEDIS & Quality Measure
- Knowledge of Government Programs
- Curiosity to foster innovation and pave the way for growth
- Humility to play as a team
- Commitment to being the difference for our customers in every interaction
Responsibilities
- Conduct thorough assessments of client needs and develop individualized care plans.
- Coordinate and facilitate access to appropriate healthcare services and resources.
- Collaborate with healthcare providers, insurance companies, and other stakeholders to ensure seamless care coordination.
- Monitor client progress and adjust care plans as needed.
- Provide education and support to clients and their families to promote self-management and empowerment.
- Maintain accurate and up-to-date documentation of client interactions and interventions.
- Participate in case conferences and team meetings to discuss client progress and develop strategies for improvement.
- Stay current with industry trends and best practices in case management.
- Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer.
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What This Job Offers
Job Type
Full-time
Industry
Insurance Carriers and Related Activities
Number of Employees
1,001-5,000 employees
