Job Description

Job Title: Telephonic Care Manager

Duration: 3 months with extension

Shift: 8:00 am to 5:00 PM EST

Location: Remote For Florida

**Person living in Florida will be considerd**

Walk me through the daytoday responsibilities of this the role and a description of the project (Outside of Workday JD):

• Remote telephonic case management Care manager (CM) follows model of care to assist member in managing health care needs.
• Conducts initial assessments medication review develops care plan with members identifies member needs and connects member with appropriate resources to meet health care needs.
• Interacts with members care team community services vendors.
• Follows up with member every 30 days at minimum to review conditions progress toward goals and ensure member is receiving requested information and/or services.
• Provides education on member health plan and coverage and management of identified health conditions.
• Describe the performance expectations/metrics for this individual and their team:
• CM caseload expectation is seventyfive actively managed members Audit score of 90%or greater Case duration 90 days.

Tell me about what their first day looks like:

• The first day is usually corporate HR training setting up company issued equipment and access necessary to perform role specific duties.

What previous job titles or background work will be in this role

• RN experience in case management preferred clinical nursing background of 5 years or more.

Required Skills/Experience:

• Registered Nurse five plus years clinical RN experience
• Compact License

Education Requirement: Graduate of accredited RN program

Software Skills Required: Microsoft office products.

Required Certifications: CCM preferred.

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