Case Manager - (Enfermero/a o Profesional en Áreas de la Salud)

Descripción de la oferta

Are you a healthcare professional passionate about patient well-being and skilled in case management? This opportunity is for you! As a Case Manager, you will play a key role in ensuring our members receive the best possible care through efficient and compassionate case management.

What You'll Do:
- Assess and manage member cases to ensure comprehensive and personalized care.
- Develop individualized care plans tailored to each patient's medical, physical, and psychosocial needs.
- Coordinate follow-ups and continuity of care between hospitals, home care, and other healthcare services.
- Identify and address barriers to treatment adherence.
- Educate and guide patients and caregivers on chronic disease management and health prevention.
- Ensure proper medication reconciliation and coordinate post-hospital discharge care.
- Collaborate with an interdisciplinary team to provide the highest quality of care.
- Provide telephonic support to members and be available for on-call rotations as needed.
- Conduct audits, meetings, and training sessions to continuously improve service quality.

What We’re Looking For:
Experience in case management, healthcare coordination, or managed care settings (IPA, MSO, health plans).
- Strong analytical, critical thinking, and communication skills.
- Excellent written and verbal communication, with the ability to explain medical information clearly.
- Organizational and multitasking abilities, with great decision-making skills.
- Ability to work autonomously while being an active team player.
- High level of discretion and professionalism when handling sensitive information.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
- Knowledge of ICE, DHS, DMHC, NCQA, and CMS standards is a plus.
- Previous experience in Case Management (BCM, CCM, SNP, ECM) is highly valued.

Requerimientos

• Educación mínima: Universidad / Carrera Profesional
• 1 año de experiencia
• Idiomas: Inglés

Palabras clave: lider, jefe, gerente, manager, director, chief, lead, jefatura, regente, enfermeria, enfermero, nurse, nursing, experto, profesional, professional, expert, health, salut

Ayer

Acerca de THIRD WAY HEALTH S.A.S

Third Way Health es un socio de BPO de atención médica de vanguardia enfocado en revolucionar las operaciones comerciales para pagadores, proveedores, MSO y más a través de su enfoque de servicios administrados de extremo a extremo habilitado por tecnología.