Case Manager

InnovaCare Management Services Company, LLC

General Knowledge/Skills

• Must: Critical thinking and problem-solving skills.
• Preferred: Clinical knowledge of chronic conditions, management of high-risk patient populations and knowledge of available community resources.
• Strong knowledge of managed care concepts.
• Strong written and verbal skills with patients, physicians and other stakeholders including techniques in facilitating patient engagement in their healthcare.
• Demonstrate ability to timely assess and respond to patient and family needs.
• General knowledge of care (case) management practices, including familiarity with Medicare Advantage products, programs, and services.
• Experience in establishing professional and collaborative relationships with patients, providers, and insurance organizations.
• Basic computer skills, including working knowledge of the Microsoft Office suite.
• Not required, but preferred: Certification as a diabetes educator, nutritionist or social worker or other specialty.

Minimum Required Education, Experience & Skills

• Current Nursing License within the state in which you work or Compact License, RN preferred, may consider LPN with Managed Care experience outside of clinical setting.
• Minimum two years clinical practice, one (1) year care (case) management experience or will work towards and maintain a Care (Case) Management Certification.
• Continuing education in Care (Case) Management and all other applicable professional licensure.
• CPR/BLS certification.

ENVIRONMENTAL AND WORKING CONDITIONS

In this position, the employee will work in an office setting that requires sitting, walking, talking, and listening. Position will require a valid driver's license and will travel approximately 30% of the time.

Physical & Mental Requirements: (check all that apply)

• Required immunizations and vaccinations.
• Ability to lift to 50 pounds.
• Ability to push or pull heavy objects using up to 100 pounds of force.
• Ability to stand or sit for extended periods of time.
• Ability to use fine motor skills to operate equipment and/or machinery.
• Ability to properly drive and operate a vehicle.
• Ability to receive and comprehend instructions verbally and/or in writing.
• Ability to use logical reasoning for simple and complex problem solving.
• Occasionally requires exposure to communicable diseases or bodily fluids.
• Occasional travel for clinic activities may be required (ex. InnovaCare meetings or training).

The information listed above is not comprehensive of all duties/responsibilities performed. This job description is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.

Innovacare participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.