Care Manager – Tribal Health
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.
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