See all roles

Sr Care Manager - Remote

Work from home Full-time role Hiring

Our work matters. We help people get the medicine they need to feel better and live well. We do not lose sight of that. It fuels our passion and drives every decision we make. Job Posting Title Sr Care Manager - RemoteJob Description • Ensures continuity of care for newly enrolled members. • Identifies and prioritizes the members' needs and preferences. • Develops quantifiable goals and desired outcomes, and promotes the members' ability to self-manage to the greatest extent possible. • Develops, implements and monitors the Person Centered Service Plan, assisting members in obtaining reasonable accommodations when appropriate. • Manages case load, including risk stratification of members, monitoring reassessment needs and facilitating transitions of care settings. • Serves as the primary point of member contact. • Assesses member needs, manages care and services, and ensures effective communication among members, caregivers, providers and community supports. • As the lead of the interdisciplinary team, facilitates the activities and communication within an interdisciplinary team of providers, vendors, facilities, discharge planners, field nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings. • Maintains timely, complete and accurate documentation using both hard copy and technology based solutions in compliance with regulatory policies and procedures. • Gathers and summarizes data for reports. • Supports initiatives of the Quality Assessment and Performance Improvement Committee. Potential pay for this position ranges from $59,000.00 - $94,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail. Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, creed, color, religion, gender, sexual orientation, gender identity/expression, national origin, disability, age, genetic information, veteran status, marital status, pregnancy or related condition (including breastfeeding), expecting or parents-to-be, or any other basis protected by law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. Prime Therapeutics LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. Apply Job!

You might like

Remote Experienced Commercial Desk Adjuster

Work from home Full-time role

Analyst, Claims Services Support (Surety)

Work from home Full-time role

Senior Medicaid HEDIS Data Professional

Work from home Full-time role

Utilization Specialty OT Therapist Pediatric

Work from home Full-time role

Remote Hospital Billing Follow-up Analyst

Work from home Full-time role

Insurance Agency Bookkeeper - REMOTE

Work from home Full-time role

Group Housing & Events Specialist

Work from home Full-time role

Senior IBMi Programmer Analyst (REMOTE)

Work from home Full-time role

Claims Service Ambassador I Remote

Work from home Full-time role

Medical Debt Collector Bi Lingual

Work from home Full-time role

Direct Sales Representative

Work from home Full-time role

Interim Construction Counsel (Data Centers) - Major Tech Co.

Work from home Full-time role

On-Call Senior Federal Rulemaking Specialist (REMOTE ROLE)

Work from home Full-time role

Sr. HR Data/Report Systems Analyst (Oracle HCM) (100% remote)

Work from home Full-time role

Experienced Customer Service Chat Support Representative – Work from Home Opportunity with arenaflex ($32/hour)

Work from home Full-time role

Biomedical Technician I, Tampa Area

Work from home Full-time role

Internal Audit Lead, Compliance & Operations

Work from home Full-time role

Experienced Full Stack Data Entry Specialist – Remote Legal Operations

Work from home Full-time role

Technical Writer- Illustrator job at Nucor in Jackson, WI, Hartford, WI

Work from home Full-time role

Adjunct Faculty-ASL (American Sign Language)

Work from home Full-time role