Summary:

We are seeking a dedicated Care Management Associate to join our team in the Hospital & Health Care industry. The ideal candidate will be responsible for assisting in the coordination and implementation of care management programs to ensure the highest level of patient care. This role requires excellent communication skills, attention to detail, and a passion for helping others.

Responsibilities:

• Assist in the development and implementation of care management plans for patients
• Coordinate with healthcare providers to ensure proper patient care
• Conduct assessments and evaluations to determine patient needs
• Provide support and guidance to patients and their families
• Maintain accurate and up-to-date patient records
• Receive in-coming calls, address the caller’s needs (providers and members) and/or offer clarification on questions or concerns as related to policy & procedure and benefits
• The Care Management Associate I (CMA), under the direction of the Vice President of Clinical Services, is responsible for the daily activities of member case intake, processing functions, and associated workflow, as well as for performing other duties associated with the coordination of member care as outlined and/or assigned by their manager

Qualifications:

• Bachelor's degree in Nursing, Social Work, or related field
• Previous experience in care management or healthcare administration
• Strong communication and interpersonal skills
• Ability to work effectively in a fast-paced environment
• Knowledge of medical terminology and healthcare regulations
• 1 to 3 years of experience in an administrative support role in either Utilization Management or Appeals
• High School diploma or GED (General Equivalency Diploma)

Skills:

• Excellent organizational skills
• Ability to prioritize and multitask
• Proficient in Microsoft Office Suite
• Detail-oriented
• Compassionate and empathetic