About the Role
This role is responsible for managing care coordination for members with medical and behavioral health conditions, focusing on improving health outcomes through assessment, planning, and continuous support.
Responsibilities
- Conduct comprehensive assessments of member health needs
- Develop individualized care management plans
- Collaborate with healthcare providers to coordinate services
- Monitor member progress and adjust care plans as needed
- Facilitate access to medical, behavioral, and social services
- Provide education on disease management and prevention
- Track member engagement and participation in care programs
- Identify barriers to care and implement solutions
- Ensure timely referrals to specialists and community resources
- Maintain accurate and up-to-date case records
- Support transitions of care between settings
- Promote adherence to treatment plans
- Engage members through regular outreach and follow-up
- Use data to identify high-risk individuals for intervention
- Coordinate with case managers and clinical teams
- Respond to member inquiries and provide clinical guidance
- Assist members in navigating insurance benefits
- Support crisis intervention when necessary
- Contribute to quality improvement initiatives
- Ensure compliance with regulatory and accreditation standards
Compensation
Competitive salary based on experience and qualifications
Work Arrangement
Hybrid remote with required office presence as needed
Team
Part of a multidisciplinary care management team focused on member-centered outcomes
Equal Opportunity Employer
We provide equal employment opportunities without regard to race, color, religion, national origin, sex, sexual orientation, gender identity, disability, or protected veteran status.
Physical Requirements
- Sedentary work requiring prolonged sitting, computer use, and regular phone communication
- Occasional lifting up to 10 pounds
Not available for this position
