Care Management Associate- OhioRISE - must reside in Ohio, West Virginia, Kentucky, or Louisiana.
Core
Full-time remote Care Management Associate managing enrollment and wellness plans for children's specialty programs, including foster care and family welfare populations.
Role type
Care Management Associate (Clinical Support)
Builds
Wellness plans and care coordination for pediatric and child welfare members
Domain
Healthcare / Population Health / Child Welfare
Required skills
Case management, population health management, wellness plan development, community resource coordination, telephonic communication, MS Office Suite, CANS certification, regulatory compliance
Preferred skills
Motivational interviewing, call center experience, managed care experience
Responsibilities
Review and triage members, manage enrollment for child and family welfare, develop wellness plans, administer health questionnaires, complete outbound calls for community resources, screen members for medical services, coordinate referrals, maintain accurate documentation, assist with claims payment issues
Seniority
Mid-level, hands-on IC