The Care Manager is responsible for completing a comprehensive assessment to determine the correct services and benefits based on medical necessity for an enrollee. Provides plan education, transition of enrollees to clinical services based on Department of Health (DOH) guidelines. Care management providing advocacy, coordination and oversight of all healthcare services for an enrollee striving to deliver the best care at the right time and in the most-cost effective while meeting quality outcome standards for the enrollee case load assigned. Complies with all state and federal regulations including Health Insurance Portability and Accountability Act (HIPAA).
REQUIRED:
PREFERRED:
REQUIRED:
Qualified applicants will receive consideration for employment without regard to their age, race, religion, national origin, ethnicity, age, gender (including pregnancy, childbirth, et al), sexual orientation, gender identity or expression, protected veteran status, or disability.
Successful candidates might be required to undergo a background verification with an external vendor.
Req Id 91922
Department CARE MANAGEMENT SERVICES
Shift Days
Shift Hours Worked 7.50
FTE 0.94
Work Schedule SALARIED GENERAL
Employee Status A1 - Full-Time
Union 2019 - CMNA
Pay Range $30.00 - $ 38.92 Per Hour
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