Care Management Associate

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

📋 Description

• Collaborate with care coordinators, managers, community members, referral sources, children services, young adults, guardians, family members, case managers, and behavioral health providers.

• Offer administrative and operational assistance to the Care Coordination department.

• Oversee the inbound care management queue line.

• Address questions and inquiries from members, guardians, and parties involved in service provision.

• Process OhioRISE referrals, verify Medicaid eligibility, and handle referrals.

• Conduct Health Risk Assessments for assigned members.

• Work with complex data systems, including an Electronic Record System and/or Excel.

• Adapt to changing tasks and operational priorities.

• Ensure accurate workflows and information while communicating and collaborating with team members and leadership.

• Assist vulnerable populations and families in navigating complex systems.

• Work Monday through Friday, from 8am to 5pm, during standard business hours.

⛳️ Requirements

• Must be a resident of Ohio.

• Recent experience with other MCOs, specifically within the last 5-7 years in Ohio; experience may be substituted with recent employment in healthcare organizations or companies.

• Must pass the CANS assessment and obtain certification within 90 days of employment.

• High school diploma, GED, or equivalent experience required.

• Ability to demonstrate critical thinking and quick decision-making.

• Detail-oriented for manual data entry tasks.

• Capable of handling escalated calls effectively.

• Problem-solving skills in high-stress situations.

• Ability to multitask across various systems simultaneously.

• Initiative and accountability in personal learning.

• Contribute positively to the work environment.

• Independently manage time and assigned responsibilities.

• Maintain confidentiality and adhere to HIPAA and organizational privacy standards.

• A private, distraction-free workspace to carry out all tasks.

• Secure personal internet connection required.

• An associate's degree or other specialized healthcare certifications or training is preferred.

• A genuine desire and interest in assisting individuals with behavioral health care needs is preferred.

🏝️ Benefits

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources for physical, emotional, and financial well-being.

• CVS Health bonus, commission, or short-term incentive program in addition to base pay.

• Employer-provided equipment.

• No mandatory holidays or weekend shifts.