Care Manager

3 days ago


Valley Falls, Kansas, United States Sunflower Health Plan Full time
Job Summary

Sunflower Health Plan is seeking a skilled Care Manager to join our team. As a Care Manager, you will play a critical role in developing and implementing personalized care plans for our members, ensuring they receive high-quality, cost-effective healthcare outcomes.

About the Role

  • Develop and assess care management activities based on member needs to provide quality, cost-effective healthcare outcomes.
  • Develop or contribute to the development of personalized care plans and educate members and their families/caregivers on services and benefit options available to improve healthcare access and receive appropriate high-quality care.
  • Evaluate member needs, barriers to care, and resources available, and recommend and facilitate plans for the best outcome.
  • Provide psychosocial and resource support to members/caregivers and care managers to access local resources or services.
  • Coordinate between members and/or families/caregivers and the care provider team to ensure identified care or services are accessible to members in a timely manner.
  • Monitor progress towards care plans goals and/or member status or change in condition, and collaborate with healthcare providers for care plan revision or address identified member needs.
  • Collect, document, and maintain all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators.
  • Perform on-site visits to assess member needs and collaborate with providers or resources, as appropriate.
  • Provide education to care managers and/or members and their families/caregivers on procedures, healthcare provider instructions, care options, referrals, and healthcare benefits.

Requirements

  • Bachelor's degree and 2 – 4 years of related experience.
  • Current state's clinical license preferred.

What We Offer

  • Competitive pay: $37.25 per hour.
  • Comprehensive benefits package, including health insurance, 401K, and stock purchase plans.
  • Tuition reimbursement and paid time off plus holidays.
  • Flexible work arrangements, including remote, hybrid, field, or office work schedules.

Sunflower Health Plan is an equal opportunity employer committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


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