Experienced Case Management Specialist – Remote Customer Service Representative | Entry Level

• *Join careerzynith in revolutionizing patient care and making a meaningful impact on the lives of individuals and communities across the nation.**

Are you passionate about delivering exceptional customer service and making a difference in the lives of others? Do you have a strong desire to work in a dynamic and fast-paced environment where no two days are the same? Look no further! careerzynith is seeking an experienced Case Management Specialist to join our team as a Remote Customer Service Representative.

• *About careerzynith**

careerzynith is a leading healthcare organization dedicated to providing innovative solutions and exceptional care to individuals and communities. Our mission is to empower people to live healthier, more fulfilling lives by delivering high-quality, patient-centered care. With a strong commitment to diversity, equity, and inclusion, we strive to create a workplace culture that values and respects the unique perspectives and experiences of our employees.

• *Job Summary**

As a Case Management Specialist, you will play a critical role in our Double Qualified Special Needs Plan (DSNP) program, working with individuals who are enrolled in Federal Medicare and Medicaid and present with complex health and social challenges. You will use your exceptional communication and interpersonal skills to build strong relationships with patients, families, and healthcare providers, ensuring that each individual receives the highest level of care and support.

• *Key Responsibilities**

• Conduct comprehensive assessments of patients' needs and develop personalized care plans to achieve optimal outcomes
• Identify high-risk factors and service needs that may impact patient outcomes and collaborate with healthcare providers to develop effective solutions
• Coordinate and implement care plan activities, monitoring progress and making adjustments as needed
• Collaborate with case managers, healthcare providers, and other stakeholders to overcome barriers to meeting patient goals and objectives
• Identify and report quality of care issues through established channels
• Utilize effective communication and interpersonal skills to engage patients and families in their care, promoting self-advocacy and empowerment
• Provide education, support, and resources to enable patients to make informed decisions about their healthcare and well-being

• *Essential Qualifications**

• 3+ years of experience in a health-related field
• Strong understanding of healthcare systems, policies, and procedures
• Excellent communication, interpersonal, and problem-solving skills
• Ability to work independently and collaboratively as part of a team
• Strong analytical and critical thinking skills
• Proficiency in case management software and electronic health records

• *Preferred Qualifications**

• Certification in case management (CRC, CDMS, CRRN, COHN, or CCM)
• Experience working with geriatric special needs, social health, and disability populations
• Bilingual (English/Spanish; English/Creole) or multilingual skills
• Knowledge of evaluation, screenings, and care planning
• Experience working with Federal health insurance and Medicaid programs

• *Education**

• Bachelor's degree or equivalent experience required

• *Compensation and Benefits**

• Competitive salary range: $19.52 - $40.90 per hour
• Comprehensive benefits package, including medical, dental, and vision coverage
• 401(k) retirement savings plan with company match
• Representative Stock Buy Plan
• Paid term life insurance and disability benefits
• Paid time off (PTO) and paid holidays
• Access to professional development opportunities and training programs
• Recognition and rewards for outstanding performance and contributions to the organization

• *Why Join careerzynith?**

• Make a meaningful impact on the lives of individuals and communities
• Work in a dynamic and fast-paced environment with a talented and dedicated team
• Enjoy a comprehensive benefits package and competitive compensation
• Pursue professional development opportunities and training programs
• Contribute to a workplace culture that values diversity, equity, and inclusion

• *How to Apply**

If you are a motivated and compassionate individual with a passion for delivering exceptional customer service, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter through our website or by clicking the "Apply Job" link below.

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• *careerzynith is an equal opportunity employer committed to diversity, equity, and inclusion. We welcome applications from qualified candidates of all backgrounds and perspectives.**

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