What are the responsibilities and job description for the Care Management Associate position at Rose International?
Required Education
High school diploma or GED required
Required skills / Experience :
Case management and discharge planning experience
Strong problem-solving and analytical skills
Possess strong computer navigation skills
Comfortable with regular feedback and development
Works well in a team environment
Must have basic medical terminology experience
Preferred skills / Experience :
Preferred strong customer service skills
Call center experience
Care Management Associate Job Overview :
Utilizes critical thinking and judgment to collaborate and inform the case management / concurrent review process, to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management / concurrent review tools and resources.
Will assist with discharge plans, and outreach to members, assist with HH / DME issues.
Position Summary :
Enhancement of Medical Appropriateness and Quality of Care : - Using a holistic approach consults with utilization management clinicians, hospital discharge planning staff, supervisors, and / or other health programs to overcome barriers to meeting goals and objectives.
Coordinates care with providers as a part of comprehensive and proactive discharge planning.
Identifies and escalates quality of care issues through established channels.
Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and / or healthcare needs.
Utilizes influencing / motivational interviewing skills to ensure maximum member engagement and promote lifestyle / behavior changes to achieve optimum level of health.
Provides coaching, information and support to empower the member to make ongoing independent medical and / or healthy lifestyle choices.
Helps member actively and knowledgeably participate with their provider in healthcare decision-making
Industry : Healthcare
Estimated Start Date : 1 / 27 / 2025
Travel : No
Parking : N / A
Dress Code : Business Casual
Only those lawfully authorized to work in the designated country associated with the position will be considered.
Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.
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