Case Management Specialist

New
J
JobgetherHealthcare
Based in the United StatesFull-TimeMiddle
Salary$21.10–$40.90 per hour
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Job Details

Experience
2+ years of experience in a health-related field; 2+ years of customer service experience
Required Skills
Microsoft OfficeCustomer serviceEHR

Requirements

  • 2+ years of experience in a health-related field.
  • 2+ years of customer service experience, preferably in healthcare.
  • Associate's degree in a healthcare-related field.
  • Proficiency with Microsoft Office tools (Word, Excel, Outlook, OneNote, Teams).
  • Ability to maintain a dedicated, secure workspace meeting HIPAA requirements.
  • Ability to maintain a hardwired internet connection (min 25 Mbps download / 3 Mbps upload).
  • Strong verbal and written communication skills.
  • Ability to work independently in a remote environment.
  • Knowledge of Medicare and Medicaid managed-care environments is a plus.
  • Active practical nursing degree or certificate is preferred.

Responsibilities

  • Engage with members by telephone for approximately 50–75% of the workday.
  • Conduct outreach and perform health risk assessments.
  • Develop individualized care plans with goals and interventions.
  • Monitor care-plan activities and coordinate follow-up services.
  • Collaborate with Registered Nurse Care Managers, Social Workers, and other team members.
  • Maintain accurate documentation within electronic health records.
  • Ensure compliance with federal and state healthcare regulations.
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$21.10–$40.90 per hour
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