Care Management Specialist

3 weeks ago


Tampa, Florida, United States Pyramid Consulting, Inc Full time

Job Opportunity: We are seeking a skilled Care Management Specialist to join our team at Pyramid Consulting, Inc.

Job Summary: As a Care Management Specialist, you will be responsible for providing care management to assist with coordination of care, including assessing for health care needs, referring to health plan providers, providing education on benefits/expanded benefits, and providing community resources to address social determinants of health needs.

Key Responsibilities:

  • Provide field-based care management services to assist with coordination of care.
  • Assess for health care needs and refer to health plan providers as necessary.
  • Provide education on benefits/expanded benefits and community resources to address social determinants of health needs.
  • Document in an electronic health record and complete assessments, care plans, and outreach notes.
  • Comply with care management policies/procedures, including outreach and documentation expectations.
  • Audit charts on a monthly basis to ensure compliance.

Requirements:

  • Pediatric case management experience.
  • Experience connecting families/children to local resources for various services, including employment, housing, independent living, justice, foster care, etc.
  • Health plan experience.
  • Foster care and/or adoption experience.
  • Bachelor's Degree.
  • Microsoft Office- Outlook, Word, and Excel.

About Us: Pyramid Consulting, Inc. is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions.



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