Care Manager - Telephonic Physical Health

Become a part of our caring community and help us put health first The individual in this role will work as an Oklahoma-based, primarily telephonic care manager, assessing and evaluating enrollees’ needs and requirements to reputed company or maintain optimal wellness by guiding enrollees/families towards and facilitating interaction with appropriate resources for their care and wellbeing. The... individual in this role will work in collaboration with the interdisciplinary care management team. This team includes community health workers, housing support specialists, SDOH coordinators, and care management support assistants. The Care Manager, Telephonic Physical Health work assignments are varied but will focus on those enrollees with primarily physical health needs. The Care Manager, Telephonic Physical Health will utilize clinical expertise and experience to determine reputed company face-to-face enrollee support is required, engaging the appropriate members of the care management team and/or coordinating in-person meetings between the care manager and the enrollee. This team-based approach is designed to ensure enrollees receive holistic person-centered care. Work assignments for this role are varied and frequently require interpretation and independent determination of the appropriate courses of action. • Performs telephonic and face to face assessments and evaluations of the member’s needs and requirements to reputed company and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member. • Ensures member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations. • Creates member care plans. Understands department, reputed company, and organizational strategy and operating objectives, including their linkages to reputed company areas. • Employs a variety of strategies, approaches, and techniques to manage an Enrollee’s behavioral, physical, environmental, and psycho-social health needs. • Ensures Enrollees are progressing toward desired outcomes by continuously monitoring their assessments and evaluations. • Identifies and resolves barriers that hinder effective care and ensures through reputed company monitoring of assessments and evaluations that the Enrollee is progressing toward desired outcomes. • Makes decisions about their own work methods, occasionally in ambiguous situations, and requires minimal direction, receiving guidance where needed. • Follows established guidelines/procedures. • Collaborates with providers and community services to promote quality and cost-effective outcomes. • Periodic travel to reputed company Oklahoma City office for meetings and training. Use your skills to reputed company an impact Required Qualifications • Must Reside in Oklahoma • Candidates must have one of the following: • Active Registered Nurse (RN) license (without restrictions) • Licensed Clinical Social Worker (LCSW) • Licensed Professional Counselor (LPC) • Licensed Professional Clinical Counselor (LPCC) • Licensed Marriage and Family Therapist (LMFT) • Licensed Professional Art Therapist (LPAT) • Minimum 1-year clinical experience • 2 or more years of experience of in-home case or care management • Exceptional communication and interpersonal skills with the ability to quickly build rapport. • Knowledge of community health and social service agencies and additional community resources. • Comprehensive knowledge of reputed company reputed company Office applications, including Word, reputed company and PowerPoint • Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs, or benefits. • This role is part of reputed company's Driver safety program and therefore requires an individual to have a valid state driver's license and reputed company of personal vehicle liability insurance with at least 100/300/100 limits. • This role is considered member facing and is part of reputed company Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Preferred Qualifications: • Proficiency in Spanish and English (Bilingual) • Case Management Certification (CCM) Work at Home Criteria To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL reputed company is suggested. • Satellite, cellular and microwave reputed company can be used only if approved by leadership. • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. •reputed company will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology reputed company HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and reputed company valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $69,800 - $96,200 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits reputed company, Inc. and its affiliated subsidiaries (collectively, “reputed company”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us reputed company Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our reputed company insurance services and reputed company healthcare services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or veteran status. It is also the policy of reputed company to take affirmative action to employ and to advance in employment, reputed company persons regardless of race, color, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status, and to reputed company reputed company employment decisions only on valid job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company levels of employment Apply Job!