Care Management Associate

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

📋 Description

• Engage with care coordinators, managers, community stakeholders, 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 inquiries and questions from members, guardians, and parties involved in service provision.

• Accept referrals for OhioRISE, verify Medicaid eligibility, and process those referrals.

• Conduct Health Risk Assessments for designated members.

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

• Adapt to evolving administrative and operational requirements.

• Ensure accurate workflows and information management while adjusting to changing processes and priorities.

• Collaborate and communicate effectively with team members and leadership.

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

⛳️ Requirements

• Must be a resident of Ohio.

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

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

• Capability to demonstrate critical and swift thinking.

• Detail-oriented approach for manual data entry tasks.

• Proficient in managing escalated calls.

• Strong problem-solving skills in high-pressure situations.

• Ability to manage multiple tasks across various systems simultaneously.

• Initiative and responsibility for personal learning and development.

• Capable of independently managing time and assigned responsibilities.

• Must maintain confidentiality and comply with all HIPAA and organizational privacy regulations.

• High School Diploma, GED, or Equivalent Experience required.

🏝️ Benefits

• Comprehensive full-time benefits package.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources based on eligibility.

• Employer-sponsored equipment.

• No mandatory holidays or weekends.