Care Coach

This is a fully remote position, open to applicants in South Carolina.

📋 Description

• Perform both telephonic and in-person evaluations of members' health, functional, environmental, psychosocial, and support requirements.

• Create and uphold personalized, member-focused care plans.

• Design and execute interventions, coordinate services, and track progress.

• Recognize and address obstacles to care, engagement, transitions, and desired outcomes.

• Direct members and their families to clinical, community, social, and payer resources.

• Promote collaboration with providers, interdisciplinary teams, and other individuals involved in members' care.

• Assist in ensuring safe and effective transitions across various care settings.

• Visit members in their homes, assisted living facilities, long-term care facilities, and other care or community environments throughout South Carolina.

• Accurately and promptly document assessments, care plans, interventions, interactions, referrals, and outcomes.

• Utilize independent judgment and modify work methods to adapt to evolving business needs.

• Report to the Care Management Manager.

• Travel at least 50% regionally for in-person meetings and field interactions.

⛳️ Requirements

• Must be a resident of South Carolina.

• Hold a bachelor's degree in a health and human services discipline.

• Have two or more years of pertinent experience in care coordination, case management, health and human services, or a similar field.

• Demonstrated experience in assessing needs, developing service or care plans, coordinating resources, and documenting member interactions and outcomes.

• Intermediate to advanced skills in Microsoft Word, Excel, and Outlook.

• Excellent verbal and written communication, organizational, critical-thinking, and problem-solving abilities.

• Capacity to manage diverse assignments, adhere to tight deadlines, work independently with minimal guidance, and adjust to shifting priorities.

• Willingness to travel to meet South Carolina Medicaid members in their homes, assisted living facilities, long-term care facilities, and other care or community settings.

• Required to undergo TB screening.

• Must have a dedicated home office with a lockable door to ensure privacy and protect member information.

• Preferred: Master's degree in a health and human services discipline.

• Preferred: Relevant state license in the candidate's area of study.

• Preferred: Certified Case Manager credential.

• Preferred: Familiarity with InterQual or MCG guidelines.

• Preferred: Experience working with Medicare or Medicaid populations.

• Preferred: Proficiency in electronic case-note documentation and various computer applications or systems.

• Preferred: Background in health promotion, coaching, wellness, community health, social service agencies, and community resources.

🏝️ Benefits

• Bonus incentive plan based on both company and/or individual performance.

• Comprehensive medical, dental, and vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company and personal holidays.

• Paid parental and caregiver leave.

• Short-term and long-term disability coverage.

• Life insurance.

• Dedicated home office with a lockable door for privacy and PHI/HIPAA protection.

• Remote, field-based work arrangement.

• Opportunities for travel related to training or meetings.