Remote Case Manager

Overview

• Serve as the primary liaison between members and the plan, ensuring seamless communication and coordination of services.
• Review and implement person-centered service plans, addressing members' unique needs and preferences.
• Coordinate covered and non-covered benefits, ensuring members receive comprehensive care and support.
• Maintain regular monthly contact with members to assess needs and provide follow-up support.
• Document all interactions and updates in members' charts in a timely and thorough manner.
• Participate in weekly team meetings to discuss member care and share insights.
• Collaborate with family members and vendor agencies to ensure coordinated care delivery.
• Adapt to additional duties as required to support the role's objectives.

Key Responsibilities & Duties

• Conduct monthly communications with members to address care needs and follow up on concerns.
• Respond promptly to items requiring attention, ensuring member satisfaction and resolution.
• Coordinate care efforts with members, families, and vendor agencies to ensure comprehensive support.
• Maintain accurate and thorough documentation of member interactions and care plans.
• Participate actively in weekly team meetings to share updates and discuss care strategies.
• Utilize knowledge of assessment and clinical review procedures to support member care.
• Communicate effectively with members across diverse ages and socioeconomic backgrounds.
• Interpret and apply relevant documents to enhance care delivery and member satisfaction.

Job Requirements

• Bachelor of Arts (BA) degree required, preferably in a relevant field.
• Minimum of 1 year of experience in case management or related roles.
• Proficiency in member assessment and clinical review procedures.
• Strong communication skills to interact effectively with members and stakeholders.
• Ability to interpret documents and apply information to member care.
• Experience in documenting and maintaining accurate records of member interactions.
• Knowledge of coordinating benefits and services for diverse member needs.
• Ability to work remotely and adapt to virtual communication tools.