Care Manager – Tribal Health

ManagerManagerFull TimeRemoteMid LevelTeam 10,001+Since 1961H1B SponsorCompany SiteLinkedIn

Location

Oklahoma

Posted

44 days ago

Salary

$71.1K - $97.8K / year

Seniority

Mid Level

Bachelor Degree2 yrs expEnglish

Job Description

• Performs telephonic and face to face assessments and evaluations of the member’s needs and requirements to achieve 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, segment, and organizational strategy and operating objectives, including their linkages to related 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 continuous 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 Humana Oklahoma City office for meetings and training.

Job Requirements

  • Must Reside in Oklahoma
  • Experience working with Oklahoma-based tribal healthcare organizations.
  • Active Registered Nurse (RN) license, or a Licensed Master Level Social Worker (LCSW, LMSW, LMSW-ACP, CSW, LPC, LMFT)
  • Minimum 1-year clinical experience
  • 2 or more years of experience of 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 all Microsoft Office applications, including Word, Excel and PowerPoint
  • Experience working with Medicaid and/or Medicare Enrollees to coordinate services, care needs, or benefits.

Benefits

  • Health benefits effective day 1.
  • Paid time off, holidays, volunteer time and jury duty pay.
  • Recognition pay.
  • 401(k) retirement savings plan with employer match.
  • Tuition assistance, Scholarships for eligible dependents.
  • Parental and caregiver leave.
  • Employee charity matching program.
  • Network Resource Groups (NRGs).
  • Career development opportunities.

Related Job Pages

More Manager Jobs

Business Wire logo

Contracts Manager – Capital Projects

Business Wire

Global Leader in News Content Distribution

Manager44 days ago
Full TimeRemoteTeam 501-1,000Since 1961H1B No Sponsor

Contracts Manager handling procurement strategies and supplier relationships for capital projects.

PMP
United States
$120K - $150K / year
Manager44 days ago
Full TimeRemoteTeam 201-500H1B No Sponsor

Manager of Payment Integrity overseeing Coding Review operations at Lyric

United States
$122.4K - $183.6K / year
Interview Kickstart logo

Senior Manager, University Partnership

Interview Kickstart

Turbocharge your career with AI skills that get hired at FAANG+

Manager44 days ago
Full TimeRemoteTeam 201-500Since 2014H1B Sponsor

Senior Manager building university partnerships for tech career platform.

United States
Full TimeRemoteTeam 10,001+H1B Sponsor

Senior Manager driving Concierge economics strategy and analytics at Capital One

New York + 1 moreAll locations: New York, Virginia
$182.5K - $249.9K / year