Experienced Full Time Remote Case Management Specialist – Patient Care and Health Services Coordination at blithequark

Introduction to blithequark and the Industry At blithequark, we are committed to delivering exceptional patient care and health services that make a meaningful difference in the lives of our members. As a leader in the healthcare industry, we are dedicated to providing top-tier care management and clinical models that address the complex health and social needs of our dual-eligible populations. Our team is passionate about collaborating with individuals, providers, and community organizations to provide comprehensive care and support that goes beyond traditional healthcare services.Job Overview and Mission We are seeking a highly skilled and compassionate Case Management Specialist to at blithequark. As a Case Management Specialist, you will play a critical role in coordinating patient care and health services, working closely with our members, providers, and internal stakeholders to deliver high-quality care and support. Your mission will be to use your decisive thinking and judgment to facilitate the case management process, ensuring that our members receive the best possible care and support to achieve their health and wellness goals.Key Responsibilities Conduct comprehensive assessments of our members' needs and eligibility, using care management tools and data analysis to inform your recommendations and develop personalized care plans. Identify high-risk factors and service needs that may impact member outcomes and care planning, referring members to clinical case management or crisis intervention as needed. Coordinate and implement allocated care plan activities, monitoring progress and adjusting plans as necessary to ensure optimal results.Collaborate with case administrators, supervisors, Clinical Directors, and other healthcare professionals to overcome barriers to meeting objectives and objectives, presenting cases at case conferences to obtain multidisciplinary review and achieve optimal outcomes. Identify and escalate quality of care issues through established channels, using your influencing and persuasive communication skills to secure appropriate decisions and services that meet our members' needs and healthcare requirements.Provide coaching, information, and support to empower our members to make informed decisions about their healthcare and lifestyle choices, promoting healthy behaviors and self-care practices that support their overall well-being. Facilitate member engagement and participation in healthcare navigation, ensuring that our members are actively involved in their care and have the knowledge and skills they need to make informed decisions about their health and wellness. Use case management and quality management processes in compliance with regulatory and licensure requirements, company policies, and procedures, maintaining accurate and timely documentation of all care activities and outcomes.Essential Qualifications To be successful in this role, you will need: 3+ years of experience in a health-related field, with a strong understanding of care management principles and practices. A Bachelor's Degree or equivalent experience, with a strong foundation in healthcare, social work, or a related field. Excellent communication and interpersonal skills, with the ability to work effectively with diverse populations and stakeholders. Strong analytical and problem-solving skills, with the ability to think critically and make informed decisions in complex and dynamic environments.Proficiency in care management tools and technologies, with the ability to learn and adapt to new systems and processes. Preferred Qualifications While not required, the following qualifications are highly preferred: CRC, CDMS, CRRN, COHN, or CCM certification, with a strong commitment to ongoing learning and professional development. Experience working with Medicare and Medicaid populations, with a deep understanding of the complex needs and challenges faced by these individuals. Managed care experience, with a strong understanding of care management principles and practices in managed care settings.Experience working with geriatric special needs, social health, and disability populations, with a strong commitment to delivering culturally competent and person-centered care. Knowledge of assessment, screenings, and care planning, with the ability to apply this knowledge in complex and dynamic environments. Bilingual skills (English/Spanish; English/Creole), with the ability to communicate effectively with diverse populations and stakeholders. Skills and Competencies To be successful in this role, you will need to possess the following skills and competencies: Strong communication and interpersonal skills, with the ability to work effectively with diverse populations and stakeholders.Excellent analytical and problem-solving skills, with the ability to think critically and make informed decisions in complex and dynamic environments. Strong organizational and time management skills, with the ability to prioritize tasks and manage multiple responsibilities in a fast-paced environment. Proficiency in care management tools and technologies, with the ability to learn and adapt to new systems and processes. A strong commitment to delivering high-quality care and support, with a focus on member-centered care and customer satisfaction.Career Growth Opportunities and Learning Benefits At blithequark, we are committed to supporting the career growth and development of our employees. As a Case Management Specialist, you will have access to a range of learning and development opportunities, including:Comprehensive training and orientation programs, designed to support your success in this role and provide a strong foundation for future career growth. Ongoing coaching and mentoring, with regular feedback and support to help you achieve your career goals and develop your skills and competencies.Opportunities for professional development and continuing education, with a focus on care management, healthcare, and related fields. Career advancement opportunities, with a range of roles and responsibilities available within the company. Work Environment and Company Culture At blithequark, we are proud of our company culture and work environment, which is built on a foundation of: Respect and empathy, with a strong commitment to delivering person-centered care and support. Collaboration and teamwork, with a focus on working together to achieve common goals and objectives.Innovation and creativity, with a strong emphasis on finding new and better ways to deliver care and support. Diversity and inclusion, with a commitment to recruiting and retaining a diverse workforce that reflects the communities we serve. Compensation, Perks, and Benefits As a Case Management Specialist at blithequark, you will be eligible for a range of compensation, perks, and benefits, including: A competitive salary range of $19.52 - $40.90 per hour, with opportunities for advancement and career growth.A comprehensive benefits package, including medical, dental, and vision coverage, as well as a range of other benefits and perks. A 401(k) retirement savings plan, with company matching and a range of investment options. A Employee Stock Purchase Plan, with the opportunity to purchase company stock at a discounted rate. A range of wellness programs and employee discounts, with a focus on supporting your physical and mental health and well-being. Paid time off and holidays, with a generous leave policy and a range of paid holidays throughout the year.Conclusion If you are a compassionate and skilled healthcare professional looking for a challenging and rewarding role, we encourage you to apply for the Case Management Specialist position at blithequark. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of our members, while also advancing your career and developing your skills and competencies. Don't miss out on this exciting opportunity to join a dynamic and growing company that is committed to delivering exceptional patient care and health services.and take the first step towards a rewarding and challenging career at blithequark!