What are the responsibilities and job description for the Case Manager position at Curative?
Summary
Objective :
Curative wants to change the view on what a health plan can be. Born out of the pandemic, we created a health plan reinvented for a post-pandemic world that is built around whole-person affordable preventive care featuring more benefits. $0 copays and $0 deductibles when members complete the Baseline Visit within 120 days of enrollment into the Plan. The Population Health Team is responsible for driving improved health outcomes, leveraging a data-first mindset to help our members achieve their optimal health well-being. Within the Population Health team, Case Managers work very closely with the Care Navigation team and are at the core of the Curative member-oriented health plan. Our Case Managers serve as a central point of contact to handle our most clinically complex members and members that want assistance in achieving their health goals.
Essential Functions :
- Serve as a Clinical Care Navigator, working to coordinate the patient’s plan of care with caregivers and providers
- Facilitate the achievement of client wellness and autonomy through advocacy, assessment, planning, communication, education, resource management, and service facilitation
- Collect and assess member information pertinent to a member’s history, condition, and functional abilities in order to develop a comprehensive, individualized care management plan that promotes appropriate utilization, and cost-effective care and services
- Based on the needs and values of the member, and in collaboration with all service providers, the Case Manager links members with appropriate providers and resources throughout the continuum of health and care settings, while ensuring that the care provided is safe, effective, client-centered, timely, efficient, and equitable
- Case Managers have direct communication with the member, care providers, and other service delivery professionals. The case manager is able to enhance these services by maintaining the client's privacy, confidentiality, health, and safety through advocacy and adherence to ethical, legal, accreditation, certification, and regulatory standards or guidelines
- Coordinates with Care Navigators (non-licensed staff) on an ongoing basis to maximize the educational outreach to members through established workflows and processes
- Participates in supporting new Curative programs and their implementation.
- Participation with clinical team meetings and / or conferences as appropriate and assigned
- Consistently meets established performance metrics and contractual obligations
- Consistently review and abide by Curative policies and procedures
- Other duties as assigned to support team
Education :
Experience :
Skills :
Work Environment :
Position Type / Expected Hours of Work :
This is a full-time salaried remote position. Typical work hours are Monday through Friday, 8 : 00 AM to 5 : 00 PM local time with flexibility as needed to support different time zones. Our headquarters are in Austin, TX so we often operate on Central Time.
Travel :
No travel is expected with this role, but may be optional for department offsites.
Other Duties :
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
