Offer summary

Qualifications:

Bachelor's degree in a relevant field or equivalent experience., Strong understanding of care management and member needs assessment., Excellent communication and interpersonal skills., Experience working with interdisciplinary teams and managing case loads..

Key responsabilities:

Ensure continuity of care for newly enrolled members.

Develop and monitor Person Centered Service Plans for members.

Serve as the primary point of contact for members and facilitate communication among all stakeholders.

Gather data for reports and maintain accurate documentation in compliance with regulations.

Job description

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make.

Job Posting Title

Sr Care Manager - Remote

Job Description

Ensures continuity of care for newly enrolled members.
Identifies and prioritizes the members' needs and preferences.
Develops quantifiable goals and desired outcomes, and promotes the members' ability to self-manage to the greatest extent possible.
Develops, implements and monitors the Person Centered Service Plan, assisting members in obtaining reasonable accommodations when appropriate.
Manages case load, including risk stratification of members, monitoring reassessment needs and facilitating transitions of care settings.
Serves as the primary point of member contact.
Assesses member needs, manages care and services, and ensures effective communication among members, caregivers, providers and community supports.
As the lead of the interdisciplinary team, facilitates the activities and communication within an interdisciplinary team of providers, vendors, facilities, discharge planners, field nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings.
Maintains timely, complete and accurate documentation using both hard copy and technology based solutions in compliance with regulatory policies and procedures.
Gathers and summarizes data for reports.
Supports initiatives of the Quality Assessment and Performance Improvement Committee.

Potential pay for this position ranges from $59,000.00 - $94,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (pregnancy, sexual orientation, and gender identity), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.   

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

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