Care Management Associate - Work From Home

Care Management Associate supports coordination of medical services for dual eligible Medicare/Medicaid members, including completing member outreaches, assisting with service authorizations, and contributing to the development and implementation of care plans under the direction of a nurse or medical director. The role involves identifying opportunities to utilize participating providers and services, promoting internal and external communication to enhance medical management, and maintaining documentation that meets risk management, regulatory, and accreditation standards. Responsibilities include research relevant to open cases, providing support to team members (e.g., handling calls, researching information), and protecting member confidentiality while assisting in resolving claims issues as needed.