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Medical Case Manager - Remote (Harrisburg, PA area)

Posted 3 days agoViewed

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💎 Seniority level: Manager, 3 years in Acute or Managed Care/experience with Medicaid or Medicare populations, or 5 years in Social Work

📍 Location: United States of America

💸 Salary: 57700.0 - 107800.0 USD per year

🔍 Industry: Healthcare

🏢 Company: highmark

🗣️ Languages: English, Spanish

⏳ Experience: 3 years in Acute or Managed Care/experience with Medicaid or Medicare populations, or 5 years in Social Work

Requirements:
  • Bachelor’s degree in nursing or a Master’s degree in Social Work, Counseling, Education, or a related field.
  • 3 years experience in Acute or Managed Care/experience with Medicaid or Medicare populations, or 5 years experience for Social Work.
  • Preferred experience with high-risk pregnant women or chronic conditions.
  • Bilingual English/Spanish language skills and Case Management Certification.
Responsibilities:
  • Ensure members with complex needs have access to high-quality, cost-effective healthcare.
  • Facilitate assessment, planning, coordination, monitoring, and evaluation of healthcare services.
  • Educate members on illness impacts and collaborate with healthcare providers to coordinate care.
  • Develop individualized care plans and adjust goals based on monitoring.
  • Participate in interdisciplinary meetings and maintain knowledge of community resources.
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