Revenue Manager responsible for developing plans to grow company revenue. Requires experience in sales funnel management and collaboration with marketing and sales teams.
About the role
- Clinical Care Manager managing nursing responsibilities for dually-eligible enrollees with complex needs. Engaging with members in community settings and coordinating care through interdisciplinary teams.
Responsibilities
- Engage with the enrollee in their homes and other community settings to establish an effective, complex care management relationship
- Function as a liaison between healthcare providers, community resources, and enrollees
- Perform required assessments on a timely basis
- Lead the interdisciplinary care team (ICT)
- Oversee enrollee utilization of long-term services and supports
- Assist members in accessing community resources
- Educate members about their benefits and available services under both Medicare and Medicaid
- Promote healthy lifestyle choices and self-management strategies
- Follow up with members after hospitalizations or significant health events to ensure continuity of care
- Advocate for the needs and preferences of enrollees within the healthcare system
- Evaluate member satisfaction through open communication and monitoring of concerns or issues
Requirements
- Associates of Science (A.S) degree in nursing from an accredited nursing program required or Master's degree in social work or mental health counseling and independent license required
- Three (3) years of experience as a Registered Nurse/BH Clinician or One (1) year as a Registered Nurse/BH Clinician with two (2) years of experience working with people with complex medical, behavioral and social needs as an LPN, CHW, MA required
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel.
- Understanding of Medicare and Medicaid programs, as well community resources and services available to dual-eligible beneficiaries.
Benefits
- Health insurance
- Flexible work hours
- Paid time off
- Professional development opportunities
- Mileage reimbursement
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