Professional, Case Management jobs in United States
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MVP Health Care · 1 month ago

Professional, Case Management

MVP Health Care is on a mission to create a healthier future for everyone, emphasizing innovation and equity in healthcare. The role involves conducting assessments, developing care plans, and coordinating healthcare services to enhance care delivery and support clients and their families.

Health CareHealth InsuranceInsuranceMedicalNon Profit

Responsibilities

Conduct thorough assessments of client needs and develop individualized care plans
Coordinate and facilitate access to appropriate healthcare services and resources
Collaborate with healthcare providers, insurance companies, and other stakeholders to ensure seamless care coordination
Monitor client progress and adjust care plans as needed
Provide education and support to clients and their families to promote self-management and empowerment
Maintain accurate and up-to-date documentation of client interactions and interventions
Participate in case conferences and team meetings to discuss client progress and develop strategies for improvement
Stay current with industry trends and best practices in case management
Contribute to our humble pursuit of excellence by performing various responsibilities that may arise, reflecting our collective goal of enhancing healthcare delivery and being the difference for the customer

Qualification

Certified Case Manager (CCM)Care/case management experienceAssessment skillsCare planning skillsHealthcare systemsInsurance processesCommunity resourcesCompassionate approachEmpathetic approachTransition of CareHEDIS & Quality MeasureGovernment ProgramsCuriosity for innovationCommitment to customer careProblem-solving abilitiesCritical-thinking abilitiesTeam collaboration

Required

Bachelor's degree in a related field (e.g., nursing, social work)
Certified Case Manager (CCM) is required within 2 years of employment
Previous experience in care/case & disease management or a related healthcare role
Strong assessment and care planning skills
Knowledge of healthcare systems, insurance processes, and community resources
Ability to prioritize and manage multiple cases simultaneously
Strong problem-solving and critical-thinking abilities
Compassionate and empathetic approach to client care
Knowledge of Transition of Care (TOC)
Knowledge of HEDIS & Quality Measure
Knowledge of Government Programs
Curiosity to foster innovation and pave the way for growth
Humility to play as a team
Commitment to being the difference for our customers in every interaction

Benefits

Growth opportunities to uplevel your career
A people-centric culture embracing and celebrating diverse perspectives, backgrounds, and experiences within our team
Competitive compensation and comprehensive benefits focused on well-being

Company

MVP Health Care

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MVP Health Care is a health care insurance provider for individuals, families, and companies.

Funding

Current Stage
Late Stage

Leadership Team

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Amy Buckley Harlow
Chief Talent Officer
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Daniel Cody
Director of Software Engineering - Customer 360 CRM
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Company data provided by crunchbase