Care Specialist III (Field Based - Passaic/Bergen Counties)
$70,500–$94,395 year
On-site · Hopewell, New Jersey, United States
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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