Case Management Coordinator

Conduct comprehensive evaluations of referred members’ needs and eligibility using care management tools and data review Recommend case-resolution approaches by evaluating benefit plans and internal and external programs or services Identify high-risk factors and service needs affecting member outcomes and care planning Make appropriate referrals and coordinate assigned care-plan activities Monitor care-plan progress Use a holistic approach to overcome barriers and meet goals and objectives Present cases at case conferences for multidisciplinary review Identify and escalate quality-of-care issues through established channels Negotiate appropriate options and services to meet members’ benefit and healthcare needs Use influencing and motivational-interviewing skills to engage members and promote lifestyle or behavior changes Provide coaching, information, and support for independent medical and healthy-lifestyle choices Support members in participating knowledgeably in healthcare decisions with providers Apply case-management processes in compliance with regulatory, accreditation, and company requirements Coordinate, document, and communicate aspects of the utilization and benefit-management program Requirements 2+ years of experience in case management Experience working with people designated as having serious mental illness (SMI) Experience working with elderly people or people with a physical disability Must reside in Pima County, Arizona Ability to travel up to 50% of the time within Pima County, Arizona Strong organizational and time-management skills Ability to collaborate with internal and external partners Proficiency in Microsoft Office Suite, including Outlook and Word Previous experience collaborating with medical professionals Bachelor’s degree in Social Work, Psychology, Special Education, or Counseling, or a valid Arizona licensed RN Bilingual English/Spanish listed as preferred Core Competencies Demonstrates expertise in case management processes, including comprehensive evaluations, care planning, and coordination of services for members with serious mental illness and physical disabilities. Proficient in utilizing motivational interviewing and collaboration with healthcare professionals to enhance member outcomes. Highest-signal resume keywords Case Management Motivational Interviewing Care Planning Bilingual English/Spanish Microsoft Office Suite ATS Optimization Keywords Hard Skills Case Management Processes Comprehensive Evaluations Benefit Plan Evaluation Holistic Approach Quality-of-Care Issue Identification Documentation and Communication Utilization Management Data Review Referral Coordination Organizational Skills Soft Skills Collaboration Time Management Influencing Skills Coaching Supportive Communication Certifications & Qualifications Bachelor’s Degree in Social Work Bachelor’s Degree in Psychology Bachelor’s Degree in Special Education Bachelor’s Degree in Counseling Arizona Licensed RN Industry Keywords Serious Mental Illness Elderly Care Physical Disability Healthcare Decisions Pima County, Arizona #J-18808-Ljbffr Jobtailor