Job Description & How to Apply Below
A company is looking for a Case Manager I to support the Enhanced Care Advocate and ECM team in case evaluation and member communication.
Key Responsibilities Review clinicals, claims, and baseline case information for various health scenarios Develop and implement strategic care plans by coordinating with members and specialized vendor partners Document casework impacts and facilitate communication between clients, members, and internal departments
Required Qualifications Bachelor's degree or equivalent work experience required 2 years of experience with Group Health Insurance and Self-Funded Health Plans required Medicare, Medicaid, Case Management, and prescription drug benefit experience preferred Experience in a clinical or social work position is a plus Proficient with Microsoft Office Suite or related software
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