Case Management Specialist

This is a fully remote position, open to applicants in Ohio, +3 more states.

📋 Description

• Allocate 50-75% of your day to interacting with members and managing their care.

• Leverage available resources to engage with and support “hard-to-reach” members.

• Collaborate with members to create personalized care plans.

• Ensure accurate documentation of care management activities is maintained.

• Work alongside the Interdisciplinary Care Team to overcome barriers to care.

• Identify and link members with health plan benefits and community resources.

• Comply with regulatory requirements within designated timelines.

• Consult with the Care Manager RN for clinical insights and decision-making.

• Partner with the Care Manager RN to guarantee that members’ needs are met.

⛳️ Requirements

• A minimum of 2 years of experience in a health-related field.

• At least 2 years of experience in customer service.

• Proficient in Microsoft Office Suite (Word, Excel, Outlook, OneNote, Teams).

• Must have access to a private, dedicated space to perform work effectively.

• Dependents should have alternative care arrangements during work hours.

• Experience in providing care management for Medicare and/or Medicaid members is preferred.

• Familiarity with individuals facing SDoH needs, chronic medical conditions, and/or behavioral health challenges is preferred.

• Experience in conducting health-related assessments and facilitating care planning processes is preferred.

• Bilingual abilities, particularly in English and Spanish, are preferred.

🏝️ Benefits

• Medical, dental, and vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• A comprehensive benefits package designed to support physical, emotional, and financial well-being.