We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. As an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly those with social determinants of health (SDoH) needs and stable health conditions.
Requirements
- Telephonic Engagement: Dedicate 50-75% of the day to engaging with members and coordinating their care.
- Member Outreach: Utilize all available resources to connect with and engage “hard-to-reach” members.
- Care Planning: Partner with members to develop individualized care plans that encompass goals and interventions to meet their identified needs.
- Documentation: Maintain meticulous documentation of care management activities in the member’s electronic health record.
- Collaboration: Work with the Interdisciplinary Care Team to address barriers to care and develop strategies for maintaining the member’s stable health condition.
- Resource Connection: Identify and connect members with health plan benefits and community resources.
- Regulatory Compliance: Meet regulatory requirements within specified timelines.
- Consults with the Care Manager RN within the Care Team for clinical knowledge, medication regimes, and supportive clinical decision making
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility
