Care Manager SNP- PEAK
Core
Lead Care Manager for Special Needs Plans (SNP) coordinating care, developing care plans, and managing transitions of care for members.
Role type
Senior IC Care Manager (SNP)
Builds
Individualized care plans and care coordination services for SNP members
Domain
Healthcare / Medicare Advantage / Special Needs Plans
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Registered Nurse license, 3 years healthcare clinical experience, 1 year care management experience, CMS regulatory knowledge, NCQA standards knowledge, disease management, utilization management, discharge planning
Preferred skills
Bachelor's or Associate degree in Nursing, 1 year SNP Care Management experience, Medicare/Medicaid population management experience
Technologies
Microsoft Office
Responsibilities
Conduct intake assessments with members and families, Develop individualized care plans, Act as liaison for Interdisciplinary Care Team, Provide resources to improve self-management skills, Collaborate with team members during transitions of care, Review and evaluate Health Risk Assessment data, Manage and triage member self-referrals, Investigate potential quality of care issues, Assist members in understanding medical benefits and connecting with providers
Seniority
Mid-level, hands-on IC