Supplemental Care Manager- Remote

Lensa; Chicago (IL); Remote; USD 60,000 - 95,000; Full time

Job summary

An innovative digital health company is seeking a Supplemental Care Manager to enhance their Value Based Care Management program. In this vital role, you will provide high-quality telephonic Case Management, ensuring that the needs of members and caregivers are met. Your expertise in motivational interviewing will help you advocate for members, guiding them through their health journey while maintaining strong relationships. Join a forward-thinking firm dedicated to making healthcare more accessible and affordable for everyone, and be part of a team that values collaboration and support. This is an exciting opportunity to make a real impact in the lives of individuals and communities.

Qualifications

• 3-5 years of clinical experience with telephonic Case Management preferred.
• Current multi-state licensed Registered Nurse, BSN preferred.

Responsibilities

• Advocate and guide members to ensure successful implementation of Care Plans.
• Conduct follow-up calls and assist members in coordinating tests and consultations.

Skills

Motivational Interviewing

Case Management

Communication Skills

Problem-Solving

Organizational Skills

Education

Registered Nurse License

Bachelor of Science in Nursing (BSN)

Tools

Electronic Medical Records

Microsoft Office Suite

Job description

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Job Description

Sharecare is the leading digital health company that helps people – no matter where they are in their health journey – unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit www.sharecare.com.

Job Summary

The Supplemental Care Manager supports the Value Based Care Management program by providing high-quality telephonic Case or Care Management with CareFirst members. They ensure that the ongoing needs of enrolled members, caregivers, and providers are met, maintaining strong relationships while the primary Care Manager is unavailable. The role involves advocating and guiding members using motivational interviewing techniques, performing outreach calls to prospective members, and engaging them into the program.

Essential Job Functions

• Advocate, guide, and intervene on behalf of members to ensure successful implementation of Care Plans.
• Conduct follow-up calls with members as indicated.
• Assist members in coordinating tests, images, and specialist consults.
• Identify benefits and community resources, evaluate Social determinants of Health, and facilitate referrals.
• Conduct member education, including medication reconciliation.
• Maintain quality documentation of care plans and progress.
• Ensure seamless communication between all parties involved.
• Abide by program guidelines and meet productivity and quality metrics.
• Complete mandatory training and participate in team activities.
• Engage new members via automated outreach to enroll them into the program.

Specific Skills/Attributes

• Strong motivational interviewing and case management skills.
• Self-directed, organized, multi-tasking, problem-solving abilities.
• Excellent communication and customer service skills.
• Ability to work in a fast-paced environment with changing priorities.
• Experience with medical records and care plan documentation.

Qualifications

• Current multi-state licensed Registered Nurse, BSN preferred.
• Training in motivational interviewing preferred.
• 3-5 years clinical experience, telephonic Case Management preferred.
• Proficiency with electronic medical records and Microsoft Office suite.
• Home office setup satisfying HIPAA and internet requirements.