Case Manager MLTC

Responsibilities:

• Provide care coordination including in-home assessment, planning, facilitation, advocacy and authorization of covered plan services to meet the member’s health needs while promote quality cost effective outcomes.
• Work with member/family to maintain the most independent living situation possible; ensure consistent care along the entire health care continuum by assessing and closely monitoring member’s needs and status.
• Authorizes covered services and coordinates care regardless of payer.
• Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team

Qualifications: 

• Bachelor’s degree required 
• At least one year of case management experience 
• Case management certification preferred 
• Knowledge of MLTC program requirements required 
• Strong interpersonal skills 
• Ability to multitask 
• Excellent organizational and time management skills 
• Proficient computer skills 
• Ability to work and cooperate on a team