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Case Manager

Collabera Philadelphia Contractor
$40.00 - $46.00 / hour
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·         Performs prospective, concurrent, and retrospective reviews for inpatient acute care, rehabilitation, referrals, and select outpatient settings. Responsible for educating and motivating Customers to participate in wellness programs. Support health promotion and disease prevention and care management services. Ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained. Manages own caseload and coordinates all assigned cases.

·         The Health Risk Assessments are physical health risk assessments for a Managed Medicare Population completed by the customer with case management support.

·         Ideal candidate would have previous case management experience with the Medicare/Medicaid population specifically focusing on Special Needs Plan Model of Care documentation requirements, care coordination working with hospital settings and Primary Care Physician offices.

·         Will sit in the Pennsylvania office, travel will be within Philadelphia and surrounding counties, telephonic work for Philadelphia

Skills

·         Excellent verbal and written communication and interpersonal skills

·         Strong time management and organization skills

·         Ability to prioritize the work

·         Strong research and analytical and problem solving skills

·         Ability to work independently

·         Knowledge of managed care preferred

·         Effective coaching/education skills

·         Ability to work in rapidly changing environment

·         Flexibility

·         Ability to work in rapidly changing environment

 

Experience

·         Senior population

·         Chronic conditions

·         Ability to work with people with significant educational and or socioeconomic barriers impacting their health

·         Education and Licensure

·         Requires two to four years clinical practice experience or certification in case management with managed care and SNP population experience at professional level.

·         Needs to be a Registered Nurse

·         Licensed RN in PA. LPN may be considered.

·         MUST be licensed PA

Recommended skills

Time Management
Interpersonal Skills
Medicaid
Coordinating
Hospitals
Managed Care
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