Case Manager, Medicare Population Management Programs Position Available In Hillsborough, Florida

Case Manager, Medicare Population Management Programs AaNeel Infotech – 4.0 Tampa, FL Job Details Full-time $50,000 – $55,000 a year 8 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Life insurance Qualifications Bilingual Spanish Medicare Managed care RN License English Mid-level Case management Utilization management Organizational skills LPN Certified Case Manager Care plans Communication skills Full Job Description Case Manager, Medicare Population Management Programs AaNeelCare® is a healthcare delivery platform that connects patients, physicians and other healthcare professionals to have seamless integration on extensive medical, claims and financial records with the support of the 14+ modules facilitating integration of care throughout the continuum. Through the use of this platform, case manager will assist partner ACO/MSO physician groups in all population management efforts. Full Job Description The Case Manager will be responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs and facilitate the member’s overall wellness. Most interventions will be telephonic. The Case Manager will identify members in need and provide education and care coordination to assist them in obtaining needed treatment while removing barriers to service. This position is responsible for managing Medicare programs and beneficiaries/members assigned to ACO/MSO primary care provider partners/clients. The activities include but are not limited to: Chronic Care Management (CCM) High Risk Beneficiary Management High-Utilization beneficiary management Utilization Management and Transitional Care Management (TCM) Enrolling patients into a case management program Scheduling patients for Annual Wellness Visit Preventive screenings and health maintenance information Outbound calls for coordination of care (e.g. Specialists, Home Health, DME, caregivers, etc)

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

Case Manager will be assigned to a population of Medicare beneficiaries/members Case Manager will communicate with the Medicare beneficiaries and Providers for Care coordination Ability to create and review care plans for assigned members as needed Adheres to Medicare guidelines, quality, and compliance Has basic knowledge of Physician offices dynamics and workflows. Self-motivated and team player with work ethics and ability to assist in the growth and development of the Health Services team and the company. Excellent organizational skills with the ability to manage multiple priorities

POSITION QUALIFICATIONS

Required:

RN, LPN licensed in Florida or other clinical backgrounds with relevant experience.

Preferred:

1 year of Case Management or Utilization management experience

Preferred:

Experience with ACO, IPA, Medicare Advantage and/or physician practice Must be comfortable working in multi-cultural environment. Willing to work full-time from office as this is not a remote position Free of any barriers and distractions impacting assigned tasks Must be fluent in English; Bilingual/Spanish-speaking a plus Excellent observation, verbal, and written communication skills Must be passionate, kind, and comfortable while communicating with seniors and clients

Job Type:

Full-time Expected hours: 40 per week

Benefits:

401(k) Dental insurance Health insurance Paid time off Vision insurance

Schedule:

Work will be office-based Monday through Friday 8:00 AM to 5:00 PM. No weekends or Holidays.

Work Location:

In person.

Tampa Job Type:

Full-time Pay:

$50,000.00 – $55,000.00 per year

Benefits:

401(k) Dental insurance Health insurance Life insurance Paid time off Vision insurance

Schedule:

8 hour shift Monday to Friday No weekends

Work Location:

In person