We're looking for a Care Management Specialist II, working in the Insurance industry in Albuquerque, New Mexico, United States.
Discharge care coordination, episodic case management and pre-admission/post discharge counseling and identification of alternate treatment options.
Provide education, counseling and referral to other resources to minimize re-admissions and emergency room episodes.
Consult with physicians, providers, members, and other resources, as appropriate, to assess, plan, facilitate implementation, coordinate, monitor and evaluate options and services required to meet an individual’s acute health needs, using communication and available resources to promote quality health outcomes.
Personalize outreach/engagement based upon attitudes/behaviors/risk assessment. Outreach to provider to coordinate the member’s care or to notify of risks/new conditions.
Reconcile, educate and monitor adherence to medication safety.
The pay we are offering is 39 per hour. This position may present an opportunity to go permanent.
Our client is a fast-growing industry-recognized staffing firm. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years’ experience and growth.
Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. Working to bring top talent together with premier organizations.
Big enough to have great opportunities. Small enough to care about finding the right one for you.
It’s about relationships based on mutual interest. The results are low turnover, long-lasting partnerships and growth. Want to work for a company invested in your success?
Experience Required for Your Success
Registered Nurse (RN) or Licensed Master Social Worker (LMSW) with current, active, unrestricted license in the state of operations (or reciprocity if applicable).
2 years clinical experience.
1 year health insurance/managed care experience.
Customer service skills and interpersonal skills to discuss pre/post admission care with physicians, hospital staff and members.
What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible? Apply here.