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Horizon Healthcare Services3 days ago

Care Specialist III (Field Based - Passaic/Bergen Counties)

$70,500–$94,395 year

On-site · Hopewell, New Jersey, United States

Type
Full Time
Level
Mid Level
Education
Bachelors Degree
Company size
Large

Job Summary

Field-based Care Specialist III responsible for assessment and case management of members to facilitate health care services, collaborate with member/family/physician and healthcare team, coordinate delivery of high-quality cost-effective care, advocate for members, utilize care management processes for goal-directed interventions, encourage member participation, document according to standards, and travel locally to perform field-based case management activities.

Required Qualifications

  • Bachelor's degree in a health-related or behavioral science field
  • Minimum of three (3) to four (4) years broad clinical experience
  • Minimum of three (3) years' experience in home care, discharge planning, or case management
  • Minimum of two (2) years' experience in the managed care industry
  • Active Unrestricted NJ SW License preferred (candidates with a restricted license will not be considered)
  • Requires local travel and possible on call work specific to the managed long term support and services case management program
  • Knowledge of standards of practice for care managers
  • Ability to interview and assess Members
  • Caseload management and casework practices
  • Human services principles for determining eligibility for benefits and services
  • Ability to effectively solve problems and locate community resources
  • Needs and service delivery system for all populations in the Care Manager’s caseload
  • Prefers strong knowledge of managed care principles and concepts
  • Strong organizational skills
  • Strong oral and written communication skills
  • Good PC skills (Excel, Access, Word)
  • Good problem solving and conflict resolution skills
  • Good presentation skills
  • Ability to work with limited daily supervision
  • Travel: daily local travel
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$71k – $94k / yr

Care Specialist III (Field Based - Passaic/Bergen Counties) · Horizon Healthcare Services

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