Care Manager I
LanceSoft
4 days ago
Full-time
Remote
Worldwide
$45.27 - $45.27 USD hourly
Medical & Pharmacy
Job Title: Care Manager I
Schedule:This is a telephonic position serving members who are on CST time. Availability from 8am-4:30pm, Monday-Friday CST is required.
Location: Remote, WI
Duration: 06+ Months with possibility of extension
Job Description:
15+ welcome calls and health risk assessments per week, emergency department follow up/care transition, care plan development, coordination with other team members. Territory: Telephonic role with contact of members within current 44 county service area · Charting/Note software: MIDAS. Additional view only access for various health system EMRs (UW, SSM) and WISHIN. · Caseload: No assigned caseload, only assigned for assessment completion with handoff to assigned team member for continued case management as needed. · Assessment requirement: 1 telephonic assessment/year/member. Contact attempts to complete/schedule will vary, with a minimum of 3 outreach phone call attempts per member. · Case population: Medicare + Medicaid recipients · Must have reliable internet.
Must Have Skills:
Experience requirement: strong documentation, communication and member engagement skills; ability to identify and appropriately escalate any member concern identified during welcome calls/HRA completion process. Knowledge of Medicare benefits/supplemental benefits, ability to navigate online provider directory and offer members in-network provider options; navigate supplemental benefit vendors and provide members with contact information.
Required Licensure / Education:
No licensure requirements.
Education requirement:
Bachelor's in human services, Social Services, or related field
Schedule:This is a telephonic position serving members who are on CST time. Availability from 8am-4:30pm, Monday-Friday CST is required.
Location: Remote, WI
Duration: 06+ Months with possibility of extension
Job Description:
15+ welcome calls and health risk assessments per week, emergency department follow up/care transition, care plan development, coordination with other team members. Territory: Telephonic role with contact of members within current 44 county service area · Charting/Note software: MIDAS. Additional view only access for various health system EMRs (UW, SSM) and WISHIN. · Caseload: No assigned caseload, only assigned for assessment completion with handoff to assigned team member for continued case management as needed. · Assessment requirement: 1 telephonic assessment/year/member. Contact attempts to complete/schedule will vary, with a minimum of 3 outreach phone call attempts per member. · Case population: Medicare + Medicaid recipients · Must have reliable internet.
Must Have Skills:
Experience requirement: strong documentation, communication and member engagement skills; ability to identify and appropriately escalate any member concern identified during welcome calls/HRA completion process. Knowledge of Medicare benefits/supplemental benefits, ability to navigate online provider directory and offer members in-network provider options; navigate supplemental benefit vendors and provide members with contact information.
Required Licensure / Education:
No licensure requirements.
Education requirement:
Bachelor's in human services, Social Services, or related field