Description and Requirements

The Care Manager plans and manages behavioral and/or physical care with members and works collaboratively with them, their supports, providers, and health care team members. The Care Manager is responsible for applying care management principles when engaging members and addressing coordination of their health care services to provide an excellent member experience, address barriers, and improve their health outcomes. The Care Manager is assigned to a specific product line such as CompleteCare, SNP, Medicaid/Medicare, PHSP, HARP, etc.

Duties and Responsibilities:

Advocates, informs, and educates beneficiaries on services, self-management techniques, and health benefits.

Conducts assessments to identify barriers and opportunities for intervention.

Develops care plans that align with the physician’s treatment plans and recommends interventions that align with proposed goals.

Generates referrals t...