Care Management Specialist II

The Care Management Specialist II coordinates with a multidisciplinary team care to provide person- centered interventions to health plan members, through effective partnerships with their caregivers/families, community resources, and their physician. The following represents the typical way to achieve the necessary skills, knowledge, and ability to qualify for this position: Education and experience equivalent to: High school diploma or GED required.

Johnson Service Group (JSG) is seeking a Care Management Specialist II - California. This position is fully remote.  
Work Schedule Monday- Friday / 8am-5pm
Pay range: $32.00-$40.65 per hour

General Description
The Care Management Specialist II coordinates with a multidisciplinary team care to provide person- centered interventions to health plan members, through effective partnerships with their caregivers/families, community resources, and their physician. He or she facilitates shared decision- making within and across settings to achieve coordinated high-quality care that is collaborative and timely.

Duties & Responsibilities
Essential Functions:

• Independently handle requests for care coordination, assessing the member’s needs, and facilitating appropriate interventions and follow-ups.
• Administer Health Risk Assessment survey to members as needed.
• Prepare care plans for members for presentation at interdisciplinary team meetings.
• Assist members with appointments for specialists, educational classes, and transportation.
• Work with healthcare providers to coordinate and share plans of treatment.
• Perform data entry of medical information; maintain census tracking and reports.
• Assist Care Coordination Case Managers and staff to coordinate members’ appointments, equipment, social services, and home health needs.
• Actively participate in team meetings.

Secondary Functions:
Perform other duties as assigned.

Qualifications
The following represents the typical way to achieve the necessary skills, knowledge, and ability to qualify for this position:
Education and experience equivalent to:

• High school diploma or GED required.
• College level courses in health care, a plus.
• Three (3) years of managed care experience, preferably in Care Coordination.
• Experience working with the health needs of the population served.
• Experience as a Medical assistant or Licensed Vocational Nurse is a plus.
• At least one year of direct Care Coordination experience

Knowledge of:

• Personal computers and proficiency in Microsoft Office Suite applications, including Outlook, Word, Excel, Access, and PowerPoint.
• Care management, Medi-Cal, and Medicare benefits as well as the complexities of working with the elderly and disabled population.

Community resources.
Abilities to:

• Communicate effectively, both verbally and in writing.
• Adapt to changes in requirements/priorities for daily and specialized tasks.
• Work as part of a team and support team decisions.

Other:
Bilingual skills highly preferred, particularly Spanish, Tagalog, or Chinese.

JSG offers medical, dental, vision, life insurance options, short-term disability, 401(k), weekly pay, and more. Johnson Service Group (JSG) is an Equal Opportunity Employer. JSG provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, age, sexual orientation, gender identity, national origin, disability, marital status, protected veteran status, or any other characteristic protected by law.#D800