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3 дня назад

Care Coordinator (Medicaid Managed Care)

53 700 - 72 600$
Формат работы
remote (только USA)
Тип работы
fulltime
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Care Coordinator (Medicaid Managed Care): Coordinating personalized care plans and services for Illinois Medicaid members with an accent on comprehensive assessments, long-term care, and community resource navigation. Focus on resolving care barriers, monitoring outcomes, supporting grievances and appeals, and coordinating services across providers and interdisciplinary teams.

Location: Arlington Heights, Illinois; must reside in Illinois. Remote field position with 75–90% local travel to members' homes, assisted living facilities, long-term care facilities, and other care settings. Schedule: Monday–Friday, 8am–5pm CST, with flexibility and occasional travel to hirify.global offices for training or meetings.

Salary: $53,700–$72,600 per year.

Company

hirify.global is a U.S. healthcare and insurance company serving Medicare and Medicaid members through insurance and healthcare services.

What you will do

  • Visit Medicaid members in homes, assisted living facilities, long-term care facilities, and other care settings.
  • Assess member needs through face-to-face and telephonic evaluations and develop personalized care plans.
  • Plan, implement, coordinate, monitor, and evaluate interventions against members' goals.
  • Identify and resolve barriers to care, address immediate gaps, and support progress toward desired outcomes.
  • Connect members and families with community resources, referrals, providers, payer sources, and interdisciplinary teams.
  • Explain managed care requirements, services, and benefits, and assist with grievances and appeals.

Requirements

  • Must reside in Illinois and be able to travel locally 75–90% of the time.
  • Bachelor's degree in social sciences, social work, human services, or a related field; or an unrestricted Illinois LPN license, LPC license, or LSW license.
  • At least 1 year of healthcare and/or case management experience.
  • At least 1 year of experience with Medicare or Medicaid recipients, long-term care, home- and community-based services, or managed care organizations.
  • Intermediate to advanced computer skills with Microsoft Word, Excel, Outlook, and electronic medical records or similar systems.
  • Valid state driver's license and personal vehicle liability insurance are required.

Culture & Benefits

  • Full-time schedule of 40 hours per week with potential additional hours based on business needs.
  • Remote work from a dedicated space that protects member PHI and HIPAA information; internet service must provide at least 25 Mbps download and 10 Mbps upload speeds.
  • Medical, dental, and vision benefits.
  • 401(k) retirement savings plan, paid time off, company and personal holidays, and paid parental and caregiver leave.
  • Short- and long-term disability, life insurance, and other wellness benefits.

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