Health Case Manager (Care Operations Lead)

New
C
CrewBloomHealthcare
Philippines. South Africa. Vietnam. Indonesia. India Gate, New Delhi, IndiaFull-TimeLead
Salary not disclosed
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Job Details

Required Skills
Data Analysis

Requirements

  • Professional degree (RN, BSN, LCSW, or MSW)
  • Experience in acute care, home health, or complex care coordination
  • Proven track record of managing high-acuity cases
  • Ability to make critical decisions under pressure
  • Tech-native, leveraging data and digital tools
  • Ability to advocate for patients to prevent hospital readmissions or secure denied services
  • Primary internet connection with a minimum speed of 15 Mbps
  • Backup internet connection with at least 10 Mbps
  • Desktop or laptop with Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or equivalent processor
  • Minimum of 8 GB RAM
  • Backup device meeting Intel Core i3 processor performance
  • Functioning webcam
  • Noise-canceling USB headset
  • Quiet, dedicated home office space
  • Smartphone for communication and verification purposes

Responsibilities

  • Bridge the gap between clinical intent and actual patient outcomes
  • Ensure every patient follows an optimized, evidence-based trajectory
  • Preempt complications before they require emergency intervention
  • Identify and dismantle bottlenecks in the referral and authorization process
  • Curate and deploy a bespoke network of community, clinical, and financial resources for each case
  • Act as the single source of truth between doctors, insurers, and families
  • Ensure 100% alignment on the care objective
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