Case Management Specialist

Description

The Case Management Specialist works with providers, patients, and insurance companies to help ensure patients receive the highest level of care, assisting them with their chronic care and preventative care needs to help reduce long-term health concerns and hospitalizations. They educate patients on the benefits of recommended preventative care services and build rapport with them to improve patient engagement, self-care management, and adherence to their individualized plan of care. They track patients' chronic care needs and work with teams within the organization to identify barriers for patients accessing care and link them to community resources. They act as a liaison, collaborating with our community partners and other healthcare organizations to ensure continuity of care and care coordination activity within the EMR.

Requirements

• LPN/RN license with clinical experience required, or Medical Assistant (MA) certification with a minimum of five years clinical experience in a medical setting.
• Clinical experience with an understanding of chronic disease management and knowledge of all life cycles required.
• Knowledge of Microsoft Excel required.
• Individual must be professional, self-motivated and have strong attention to detail, communication, teamwork, customer service and computer skills.
• Must maintain current CPR for all life cycles.
• Must demonstrate excellent internal and external customer service skills.
• Employee must demonstrate an understanding of the intent, and follow standards, guidelines and protocols related to achieving and maintaining certifications by outside agencies.
• Ability to provide bilingual patient care is a plus.
• Must have valid driver's license and reliable transportation.