Case Manager

Case ManagerOur mission is to enhance well-being by connecting individuals with vital health resources through a compassionate workforce that embodies the spirit of neighbors helping neighbors. The purpose of HealthOne is to care for people by connecting them to resources that help protect them in health related situations. To fulfill our purpose, we align our priorities to ensure each decision we make is ethical, empathetic, economical, and efficient. We care for people by being welcoming, authentic, truthful, consistent, and humble. We are continuously looking for ways to improve our process and how we get things done. HealthOne seeks individuals with integrity and heart to embody our values. Whether you're starting your career or looking to develop additional skills to reach your full potential, HealthOne provides the means to help you achieve your goals.Job Purpose: The Case Manager manages member care and progress for cases with multiple levels of risk.Essential Job Duties:Supports utilization management functions for more complex and non-routine cases as neededServes as a liaison between members, providers, and internal/external customers in coordination of health care delivery and benefits programsOversees highly complex cases identified through various mechanisms to ensure effective implementation of interventions, and to ensure efficient utilization of benefitsPerforms essential activities of case management including but not limited to: assessment, planning, implementation, coordinating, monitoring of outcomes and evaluation of member's needsVarious immunizations and/or associated medical tests may be required for this positionWorks closely and trains with the utilization management department to enable workload sharing across the disciplinesMaintains regular and predictable attendanceConsistently demonstrates compliance with HIPAA regulations, professional conduct, and ethical practiceWorks to encourage and promote Company culture throughout the organizationOther duties as may be assignedQualifications:3 years clinical experience required5 years experience in the health care industryHas current Certified Case Manager (CCM) credential or must obtain certification within 2 years of hirePC Skills required (Basic Microsoft Office and E-Mail)Registered Nurse (RN) with active license in the state of Georgia or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact LawPreference will be given to candidates with Case Management experiencePhysical Requirements:Prolonged periods of sitting at a desk and working on a computerModerate to significant amount of stress in meeting deadlines and dealing with day-to-day responsibilitiesMust be able to drive a vehicle and daytime/overnight travel as requiredBenefits:401K (4% Match, Immediate Vesting)Accident insuranceCompetitive salaryCritical Illness InsuranceDental InsuranceEmployee Assistance ProgramFlexible Spending AccountHealth & Wellness ProgramHealth Savings AccountLife & AD&D InsuranceLong Term DisabilityMedical InsurancePaid Time OffPet InsuranceShort Term DisabilityVision InsurancePre-Employment Screening: Drug Screen and Background Check RequiredHealthOne is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, disability, sex, age, ethnic or national origin, marital status, sexual orientation, gender identity or presentation, pregnancy, genetics, veteran status, or any other status protected by state or federal law.