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Case Manager

3 months ago

Roanoke, United States Med National Staffing Inc. Full time
Job DescriptionJob Description

Schedule: Hybrid REMOTE, M-F, 8am-5pm EST

Summary: Responsible for health care management and coordination of healthcare members in order to achieve optimal clinical, financial and quality of life outcomes. Works with members to create and implement an integrated collaborative plan of care. Coordinates and monitors members progress and services to ensure consistent cost-effective care that complies with policy and all state and federal regulations and guidelines.

Must Have Skills:

  • Must have a valid driver’s license and reliable vehicle for field visits
  • Must have Mental EHR(emergency health records) experience and MCO experience and reside in Roanoke/Christiansburg.
  • Excellent communication skills, with an ability to communicate effectively with members with chronic conditions, developmental disabilities, etc.
  • Strong technical skills (utilizing multiple programs at the same time) along with competency in Microsoft applications (Outlook, Teams, Excel, etc.)
  • Strong organizational and interpersonal skills

Day to Day Responsibilities: Will be responsible for performing case management activities according to the contractual requirements and in alignment with NCQA requirements. This will include potential home visits to complete assessments as well as completion of telephonic assessments, completion of integrated care plans, and conducting interdisciplinary care team meetings. In addition, conducting needed telephonic follow-up, education, and care coordination for assigned members.

Required Years of Experience: One year of experience working directly with individuals who meet the Cardinal Care Priority Population (Medicaid) criteria.
Required Licensure / Education: Must have Bachelor’s degree in a health or human services field, LMHP, RN/LPN, QMHP, LMSW, LBSW, MSW or BSW

Job Types: Full-time, Contract

Pay: $46.34 per hour

Benefits:

  • Dental insurance
  • Health insurance
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Application Question(s):

  • Must reside in VA
  • Must have Bachelors degree in a health or human services field, LMHP, RN/LPN, QMHP, LMSW, LBSW, MSW or BSW
  • Some traveling is required
  • Must reside in Roanoke/Christiansburg area with EHR(emergency health records) and MCO exp.

Education:

  • Bachelor's (Required)

Experience:

  • Medicaid: 1 year (Required)

Ability to Relocate:

  • Roanoke, VA: Relocate before starting work (Required)
Company DescriptionSince our founding in 2005, MedNational has grown into a full-service Healthcare Human Capital Solutions Organization. We are proud to deliver our traditional permanent placement and contract service opportunities.

MedNational professionals experience career opportunities in the following niche areas:
• Hospitals
• Physicians’ offices
• Nursing care facilities
• Home healthcare services
• Government agencies
• Educational services
• Support services
• Schools
• Community centers
• Urgent care centers
• Offices

Today, we conduct business in all corners of North America, and continue to be laser focused on our mission. We deliver our clients with career oriented and quality-focused health care professionals while enriching the lives of these professionals during their period of transition to a new challenge and opportunity.Company DescriptionSince our founding in 2005, MedNational has grown into a full-service Healthcare Human Capital Solutions Organization. We are proud to deliver our traditional permanent placement and contract service opportunities.\r
\r
MedNational professionals experience career opportunities in the following niche areas:\r
• Hospitals\r
• Physicians’ offices\r
• Nursing care facilities\r
• Home healthcare services\r
• Government agencies\r
• Educational services\r
• Support services\r
• Schools\r
• Community centers\r
• Urgent care centers\r
• Offices\r
\r
Today, we conduct business in all corners of North America, and continue to be laser focused on our mission. We deliver our clients with career oriented and quality-focused health care professionals while enriching the lives of these professionals during their period of transition to a new challenge and opportunity.