Case Management Specialist – Non-Bilingual

Jobtailor; Redding (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

Jobtailor is seeking a dedicated Case Manager in California to maintain caseloads, promote health goals, and support a multidisciplinary team. You will engage members via calls and messages, assist with health plans, and coordinate care with providers.

A focus on relationship-based support and timely follow-ups is essential. Qualifications include 1+ years in case management, California residency, cultural fluency, empathy, teamwork, and CRM/tech proficiency.

Qualifications

• 1+ years of general work experience (Case Management preferred).
• You are physically located in California.
• Strong understanding of cultural fluency.
• High degree of empathy.
• Ability to work collaboratively in a multidisciplinary team.
• An eye for optimization.
• Organizational skills.
• Ability to remain patient when faced with adversity.
• Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing.
• A valid driver’s license and auto liability insurance.

Responsibilities

• Maintain ongoing caseload of individuals through evidence based approaches to promote engagement and achievement of health goals.
• Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system.
• Conduct periodic telephonic and SMS outreach to ensure timely follow-up to members.
• Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan.
• Support nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks.
• Collaborate on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions.
• Consistently meet monthly encounter metrics to ensure compliance with health plan regulations.
• Identify and break down barriers ensuring individuals’ continuation with the program.
• Assist individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups.
• Coordinate physical care management appointments through collaboration with external and internal providers.
• Utilize external and internal online platforms to collaborate with team members and carry out daily tasks.

Skills

Case Management Experience

Cultural Fluency

Empathy

Collaboration in Multidisciplinary The

CRM Databases

Tools

CRM Databases

Microsoft Excel

Microsoft Word

Email Communication

Video Conferencing Tools

Job description

• Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals
• Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system
• Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members
• Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan
• Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks
• Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions
• Consistently meet monthly encounter metrics to ensure compliance with health plan regulations
• Identify and break down barriers ensuring individuals’ continuation with the program
• Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups
• Coordinate physical care management appointments through collaboration with external and internal providers
• Utilize external and internal online platforms to collaborate with team members and carry out daily tasks

Requirements

• 1+ years of general work experience (Case Management preferred)
• You are physically located in California
• Strong understanding of cultural fluency
• High degree of empathy
• Ability to work collaboratively in a multidisciplinary team
• An eye for optimization
• Organizational skills
• Ability to remain patient when faced with adversity
• Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing
• A valid driver’s license and auto liability insurance

Core Competencies

Demonstrates expertise in case management and health goal achievement through evidence-based approaches, while effectively collaborating with multidisciplinary teams and utilizing technology for member engagement and support.

Highest-signal resume keywords

• Case Management Experience
• Cultural Fluency
• Empathy
• Collaboration in Multidisciplinary Teams
• Technical Skills with CRM Databases

ATS Optimization Keywords

Hard Skills

• Health Action Plan Development
• Social Support Navigation
• Telephonic Outreach
• Referral Management
• Health Goal Identification

Soft Skills

• Organizational Skills
• Patience
• Relationship Building
• Problem Solving
• Adaptability

Certifications & Qualifications

• Valid Driver’s License
• Auto Liability Insurance

Industry Keywords

• Evidence-Based Approaches
• Health Care System
• Community Supports
• Enhanced Care Management
• Health Plan Regulations

Tools & Technologies

• CRM Databases
• Microsoft Excel
• Microsoft Word
• Email Communication
• Video Conferencing Tools