A company is looking for a Case Manager I.
Key Responsibilities
- Review clinicals, claims, and baseline case information for various health scenarios
- Develop and implement strategic care plans by coordinating with members and specialized vendor partners
- Document casework impact on cost savings and member health outcomes
Required Qualifications
- Bachelor's degree or equivalent work experience required
- 2 years of experience with Group Health Insurance and Self-Funded Health Plans required
- Medicare, Medicaid, Case Management, and prescription drug benefit experience preferred
- Experience in a clinical or social work position is a plus
- Life and Health Insurance Producers License is preferred, but not required
