Telephonic Case Manager - California - Remote (Korean Speaking)

The Telephonic Case Manager for California will be part of the ilumed team, providing a comprehensive, holistic approach for Case Management /Disease Management programs throughout the continuum of care. Care managers will be the beneficiary’s advocate. They will assess, plan, implement, coordinate, monitor, and evaluate the available options and services to achieve optimal capacity for beneficiary self-care to enhance quality of medical care and achieve the desired optimal clinical outcomes.

**MUST HOLD A CALIFORNIA RN LICENSE AS WELL AS A NURSE COMPACT LICENSE**

Responsibilities / Requirements

This will include coordination and collaboration within the Care Management programs, physicians or providers to ensure there is a fully integrated care plan addressing all beneficiary needs and conditions, documenting interventions and outcomes for beneficiaries within the Care Management program.

· Performs all duties within the scope of his/her licensure.

· Provide telephonic care guidance support to beneficiaries and their family/caregiver to ensure education, care coordination and support measures are in place, in accordance with the established plan of care.

· Active RN license in state of employment with a multi-state compact license - required; Case Management Certification (CCM), preferred

· 2-4 plus years managed care experience

· Proficient with Microsoft Office Excel & Word

· Excellent communication skills; verbal and written, and organizational skills

· Utilize Motivational Interviewing and solution-oriented approaches in communication delivery.

· Identify Social Determinants of Health needs and/or community resources to provide services

· Maintain beneficiary’s privacy, confidentiality and safety, advocacy, adherence to ethical, legal, and accreditation/regulatory standards during this process.

· Participate in professional development activities to include current principles, procedures, and knowledge domains of case management based on nationally recognized standards and licensure requirements.

Job Type: Full-time

Pay: $65,000.00 - $85,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Case management: 2 years (Required)

License/Certification:

• California RN license (Required)

Location:

• California (Required)

Work Location: Remote