Job Description

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25, 000 employees across 5 countries.

Job title:

Care Manager

Job Description:

The Sagility team is currently hiring for the role of Care Manager. The Care manager works closely with members and their caregivers to promote habits to improve quality of life and attainment of health goals using a Whole Person Care approach. The Care Manager creates a customized plan to meet the clients? key risks through a collaborative approach with the clients and their caregivers.

The Care Manager is responsible for developing a health coaching relationship with members and assisting the members through the process of actively working towards better health by providing support, encouragement, follow-up, and education on chronic conditions. The Care Manager supports coordination of care and condition management activities with members, caregivers, and providers.

This is a fully remote work at home role, you must have a quiet, private workspace and hard-wired internet with speeds greater than 5MB upload and 10MB download.

Essential Functions:

• Develop a trusting relationship with members to support the member through the process of changing behavior and improving management of their health by utilizing motivational interviewing techniques and change management concepts.
• Assist in coordinating members? relationships with multiple service systems. This may include activities such as:
  • Educational resources
  • Recommendations for functional adaptations, durable medical equipment, and care coordination for other skilled interventions and preventive services.
  • Recommendations for follow up care with physicians and specialists as clinically indicated. Present health education in a culturally appropriate format. For example, teaching a member how to prepare traditional foods using less fat
• Provide social support to improve members? adherence to medical treatment plans
• Encourage the member in adoption of habits that are conducive to improved management of their chronic condition
• Develop an individualized plan including goals and plan of action
• Serve as a resource to Care Management team members

Job Requirements:

Education:

College degree in a health-related field preferred

Professional Qualification:

• Current and unrestricted PTA license/certification will be required

Experience:

• Minimum 1-3 years? clinical experience with patient assessments.
• Experience utilizing Motivational Interviewing techniques and behavioral change theory to facilitate member adoption of positive changes and improve health.
• Experience working with the Medicare population.

Functional/Technical Knowledge, Skills and Abilities Required:

• Excellent interpersonal skills
• Ability to understand and interpret policy provisions.
• Product knowledge
• Typing Skills
• Problem Solving Skills
• Proficient computer skills
• Demonstrates empathy
• Strong organizational skills
• Strong member advocate: willing to go above and beyond normal responsibilities to provide the best service possible
• Ability to assist member in navigating the healthcare system and community-based resources
• Culturally sensitive and competent for assigned membership
• Strong organizational skills; ability to multi-task and be nimble
• Ability to work remotely
• Ability to determine when to escalate issues appropriately and in a timely manner

Salary Range: $$28.00 Hourly

Sagility Offers Competitive Benefits Including:

• Medical
• Dental
• Vision
• Life Insurance
• Short-Term and Long-Term Disability
• Flexible Spending Account
• Life Assistance Program
• 401K with employer contribution
• PTO and Sick Time
• Tuition Reimbursement

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Location:

Work@Home USAUnited States of America