Case Management Specialist
Core
Telephonic care coordinator for Special Needs Plan members with social determinants of health needs, focusing on care planning, resource connection, and closing gaps in preventative care.
Role type
Senior IC case management specialist (telephonic)
Builds
Individualized care plans and member engagement strategies for Medicare/Medicaid populations
Domain
Healthcare / Managed Care (Medicare/Medicaid)
Required skills
Telephonic engagement, care planning, resource connection, documentation, regulatory compliance, Microsoft Office proficiency
Preferred skills
Medicare/Medicaid care management experience, SDoH/chronic condition management, health assessments, bilingual (English-Spanish)
Technologies
Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams), Electronic Health Records
Responsibilities
Conduct telephonic member outreach and engagement, develop individualized care plans, connect members with community resources, maintain documentation in EHR, collaborate with interdisciplinary team including RNs
Seniority
Mid-level, hands-on IC