Care Management Specialist
Core
Telephonic Care Manager Specialist coordinating care for Special Needs Plan members with social determinants of health and stable conditions.
Role type
Senior IC care management specialist (telephonic)
Builds
Individualized care plans and connections to community resources for Medicare/Medicaid members
Domain
Healthcare (Medicare/Medicaid managed care)
Required skills
Telephonic engagement, care planning, documentation in EHR, regulatory compliance, resource connection, Microsoft Office proficiency
Preferred skills
Medicare/Medicaid care management experience, SDoH/chronic condition/behavioral health experience, health assessments, English-Spanish bilingualism
Technologies
Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams), Electronic Health Record systems
Responsibilities
Conduct telephonic member outreach and engagement, develop individualized care plans, document activities in EHR, connect members with benefits and community resources, consult with Registered Nurses for clinical decision support, meet performance metrics
Seniority
Mid-level, hands-on IC