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Care Manager

TALENT Software Services Sussex County ,DE
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

CARE MANAGER

Job Summary: Talent Software Services is in search of a Care Manager for a contract position in Sussex County, DE
. Opportunity will be three months with a strong chance for a long-term extension.
 

Primary Responsibilities/Accountabilities:

  • Maintain oversight over specified panel of members by performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members to appropriate resources for additional support.
  • For assigned case load, create care plans to address members' identified needs, remove barriers to care, identify resources, and conduct a number of other activities to help improve the health outcomes of members; care plans include both long and short term goals and plan of regular contacts for re-assessment.
  • Ensure targeted percentage of patient goal achievement (i.e., realization of member care plan), and other patient outcomes, as applicable, are achieved.
  • Ensure all activities are documented and conducted in compliance with applicable business process requirements, regulatory requirements and accreditation standards.
  • Maintain current knowledge and adheres to applicable CMS, state, local, and regulatory agency requirements and applicable standards of practice for case management including those published by CMSA and/or ACMA, as required by the organization.
  • Other duties as assigned or requested.


Qualifications:

  • Educational requirements: High School Diploma/GED
  • Professional experience, skills and qualifications:
    • 7 years of any combination of clinical, case management and/or disease/condition management experience, provider operations and / or health insurance experience
    • RN license in DE.
    • CASE MANAGEMENT EXPEREINCE IS A TOP SKILL SET.
    • This role does not provide any hands on care. It is a mix of on-site visits and electronic charting/documentation. Will be advocating for patient care and services to keep the patient in their home.
    • HOME CARE and FIELD work experience is ideal. Any candidate who has experience with working in patient homes will be interviewed first.
    • Written and verbal presentation skills, negotiation skills, and skills in positively influencing others with respect and compassion
    • Broad knowledge of disease processes
    • Understanding of healthcare costs and the broader healthcare service delivery system
    • Proficiency in MS Excel and computer skills.
    • Strong analytic skills with ability to interpret, evaluate and act on clinical and financial data, including analysis of statistical data
    • Excellent interpersonal/ consensus building skills as well as the ability to work with a variety of internal and external colleagues from all levels of an organization
    • Ability to work in a high performing team environment that requires flexibility
    • Demonstrated ability to handle multiple priorities in a fast paced environment. Excellent organizational, time management, problem solving, and project management skills
    • Self-directed; self-starter, ability to work successfully with indirect supervision and moderate autonomy
    • Must CURRENTLY LIVE in the Sussex County, DE area. When the restrictions are lifted, they will be out in the field doing in home visits in Sussex County.

Preferred:

  • Educational requirements: Bachelor's Degree in Nursing
  • Professional experience, skills and qualifications:
    • Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy (DBT)
    • Experience working with the healthcare needs of diverse populations
    • Understanding of the importance of cultural competency in addressing targeted populations
    • Experience working at either Quantum or Accolade
    • Certification in Case Management


If this job is a match for your background, we would be honored to receive your application!

Providing consulting opportunities to TALENTed people since 1987, we offer a host of opportunities including contract, contract to hire and permanent placement. Let's talk!

Company Description
Talent Software Services was originally founded as an IT staffing services company in 1987 before evolving from a locally owned operating full-service staffing firm into a national staffing organization. As a proud Veteran owned business, we have over 30 years of experience. Headquartered in Minneapolis, Minnesota we've expanded our reach to include offices in Plano, Texas and India. Talent's capabilities include Information Technology, Engineering, Digital, Healthcare, Government, and Professional Services Staffing.

Additionally:
At Talent, we believe that consultants are more than their skill sets.
To get the best projects, you must already be on the inside of the best companies.
Talent promotes a culture of teamwork that encourages personal growth, work/life balance, and professional excellence.

TALENT Software Services

Why Work Here?

At Talent, we're passionate about making consulting the best job in the world, driven by fresh challenges and innovative solutions.

Talent Software Services was originally founded as an IT staffing services company in 1987 before evolving from a locally owned operating full-service staffing firm into a national staffing organization. As a proud Veteran owned business, we have over 30 years of experience. Headquartered in Minneapolis, Minnesota we've expanded our reach to include offices in Plano, Texas and India. Talent's capabilities include Information Technology, Engineering, Digital, Healthcare, Government, and Professional Services Staffing. Additionally: At Talent, we believe that consultants are more than their skill sets. To get the best projects, you must already be on the inside of the best companies. Talent promotes a culture of teamwork that encourages personal growth, work/life balance, and professional excellence.

Address

Sussex County
Sussex County, DE
USA

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