Analyst, Case Management Specialist - Remote

Overview

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.

In Short

• Engage telephonically with members to coordinate care.
• Utilize resources to connect with hard-to-reach members.
• Develop individualized care plans with members.
• Maintain documentation in electronic health records.
• Collaborate with interdisciplinary care teams.
• Identify and connect members with community resources.
• Meet regulatory requirements within timelines.
• Support team objectives and enhance operational efficiency.
• Conduct oneself with integrity and professionalism.
• Communicate effectively with members and colleagues.

Requirements

• 2+ years of experience in a health-related field.
• 2+ years of customer service experience.
• Proficient in Microsoft Office Suite.
• Access to a private workspace for telecommuting.
• Experience in Medicare and Medicaid care management preferred.
• Familiarity with community resources and services.
• Excellent customer service skills.
• Bilingual skills, especially English-Spanish preferred.
• Associate’s degree in a health-related field required.
• Practical Nurse Degree/Certificate or bachelor's degree preferred.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching contributions.
• No-cost wellness programs.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave.
• Confidential counseling and financial coaching.
• Employee stock purchase plan.
• Support for dependent care resources.
• Retiree medical access.
• Comprehensive benefits package based on eligibility.