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Elgin

    Remote Case Manager - Elgin, United States - Anchor Staffing Inc.

    Anchor Staffing Inc.
    Anchor Staffing Inc. Elgin, United States

    4 weeks ago

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    Description

    Job Description

    Job Description

    MUST RESIDE IN ELGIN OR NORTHSIDE OF CHICAGO TO BE CONSIDERED FOR THIS POSITION.

    CANDIDATES RESIDING IN COOK COUNTY CAN EXPECT 50% TRAVEL

    BASIC FUNCTION:
    This position is responsible for conducting home health assessment, contacting identified members to inform and educate them on health care programs to address their personal health plan needs, engaging the member in discussion of adherence to personal health plans, responding to inquiries from members, and supporting the clinicians in the Medical Management department with their provider and member activities.

    Job Responsibilities:
    1. Responsible for home health assessments and system updates.
    2. Perform outreach and follow up attempts to members on their health care plan.
    3. Build relationships with members to encourage compliance with care plans and to alert the Case Manager quickly when issues arise.
    4. Inform and educate members on their program, may use supplied scripts. Complete records in system by performing data entry. Encourage member usage of our programs, including arranging appointments and additional member services (e.g., transportation). Generate appropriate correspondence and send to member manually, electronically, or telephonically.
    5. Conduct check-ins with members to review individual care plan goals.
    6. Provide support to the clinical team by performing the non-clinical functions (as identified by the business process) necessary to generate, manage, and close a case within the platform.
    7. Receive, analyze, conduct research and respond to telephone and/or written inquiries. Process information from member or provider to determine needs/wants and ensure customer questions have been addressed. Respond to customer or send to appropriate internal party.
    8. Perform data entry function to update customer or provider information.
    9. Obtain required or missing information via correspondence or telephone.

    10. Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies.
    11. Maintain complete confidentiality of company business.
    12. Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.

    JOB REQUIREMENTS:
    Bachelor of Social Work or Psychology OR LVN, LPN with 1 year experience in managed care systems OR RN OR
     Knowledge of medical terminology
     Experience coordinating member medical related needs, providing assistance to members, and analyzing member needs.
     PC proficiency including Microsoft Office applications.
     Customer service skills
     Verbal and written communications skills including developing written correspondence to members and to other department personnel and coaching skills, including motivational interviewing, to educate members on medical issues.
     Current state driver license, transportation, and applicable insurance
     Ability and willingness to travel.

    For immediate consideration email Keyera with resume and job title to

    Company DescriptionSee our company profile at

    Company Description

    See our company profile at
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