Case Management Specialist

• Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
• Use relationship-based strategies to support members with social support navigation
• Conduct periodic telephonic and SMS outreach to ensure timely follow-up to members
• Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan
• Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks
• Collaborates on care issues with Enhanced Care Management team
• Consistently meet monthly encounter metrics to ensure compliance with health plan regulations
• Identify and break down barriers ensuring individuals’ continuation with the program
• Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups
• Coordinate physical care management appointments through collaboration with external and internal providers
• Utilize external and internal online platforms to collaborate with team members and carry out daily tasks

• 1+ years of general work experience (Case Management preferred)
• You are physically located in California
• Strong understanding of cultural fluency
• High degree of empathy
• Ability to work collaboratively in a multidisciplinary team
• An eye for optimization
• Organizational skills
• Ability to remain patient when faced with adversity
• Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing
• A valid driver’s license and auto liability insurance

Demonstrates expertise in case management and health goal achievement through evidence-based approaches, while effectively collaborating with multidisciplinary teams and utilizing technology for member engagement and support.

• Case Management
• Cultural Fluency
• Empathy
• Collaboration
• CRM Database Experience

• Health Action Plan Development
• Telephonic Outreach
• Social Support Navigation
• Referral Management
• Health Goal Identification

• Organizational Skills
• Patience
• Team Collaboration
• Adversity Management
• Optimization

• Valid Driver's License
• Auto Liability Insurance

• Health Plan Regulations
• Community Supports
• Enhanced Care Management
• Care Coordination
• Member Engagement

• CRM Databases
• Excel
• Word
• Email
• Video Conferencing