Case Management Specialist - Non-Bilingual

Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions Consistently meet monthly encounter metrics to ensure compliance with health plan regulations Identify and break down barriers ensuring individuals’ continuation with the program Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups Coordinate physical care management appointments through collaboration with external and internal providers Utilize external and internal online platforms to collaborate with team members and carry out daily tasks Requirements 1+ years of general work experience (Case Management preferred) You are physically located in California Strong understanding of cultural fluency High degree of empathy Ability to work collaboratively in a multidisciplinary team An eye for optimization Organizational skills Ability to remain patient when faced with adversityStrong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing A valid driver’s license and auto liability insurance Core Competencies Demonstrates expertise in case management and health goal achievement through evidence-based approaches, while effectively collaborating with multidisciplinary teams and utilizing technology for member support and engagement. Highest-signal resume keywords Case Management Experience Cultural Fluency Empathy Collaboration in Multidisciplinary Teams Technical Skills with CRM Databases ATS Optimization Keywords Hard Skills Health Action Plan Development Social Support Navigation Telephonic Outreach Referral Management Health Goal Identification Soft Skills Organizational Skills Patience in Adversity Relationship Building Certifications & Qualifications Valid Driver’s License Auto Liability Insurance Industry Keywords Evidence-Based Approaches Health Care System Community Supports Enhanced Care Management Health Plan Regulations Tools & Technologies CRM Databases Excel Word Email Video Conferencing #J-18808-Ljbffr Jobtailor