Care Management Associate - 95% REMOTE Phoenix, AZ

Coordinator III - Care Management Associate

Monday to Friday 8am to 5pm training will be 8am to 5pm. This is a Remote position, Phoenix AZ.

• 6 month Temporary role, not an FTE.
• Will need to be onsite first day to pick up equipment, training will be virtual
• This position will be dealing with very sensitive and confidential information.
• Training will be 8am to 5pm for 3 weeks - candidate must be committed to not missing any days within the first 3 weeks
• Include Typing Test, 45WPM and 6500 alphanumeric score of 6500
  
  

$18.33 per hour.

Position Summary

Utilizes critical thinking and judgment to collaborate and inform the case management/concurrent review process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management/concurrent review tools and resources. Will assist with discharge plans, and outreach to members, assist with HH/DME issues.

Duties

• Enhancement of Medical Appropriateness and Quality of Care:
• Using holistic approach consults with utilization management clinicians, hospital discharge planning staff, supervisors, and/or other health programs to overcome barriers to meeting goals and objectives;
• Coordinates care with providers as a part of comprehensive and proactive discharge planning.
• Identifies and escalates quality of care issues through established channels.
• Utilizes negotiation skills to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare needs.
• Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health.
• Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.
• Helps member actively and knowledgably participate with their provider in healthcare decision-making.
  
  

Job Qualifications

• 1 year of Case management and discharge planning experience
• Must have 1 year of basic medical terminology experience
  
  

Preferred Qualifications

• Preferred strong customer service skills
• Strong problem-solving and analytical skills
• Possess strong computer navigation skills
• Comfortable with regular feedback and development
• Works well in a team environment
  
  

Education

High school diploma or GED preferred

About NTT Data

NTT DATA is a recognized leader in IT and business services, including cloud, data and applications, headquartered in Texas. As part of NTT DATA, a $30 billion trusted global innovator with a combined global reach of over 80 countries, we help clients transform through business and technology consulting, industry and digital solutions, applications development and management, managed edge-to-cloud infrastructure services, BPO, systems integration and global data centers. We are committed to our clients' long-term success. Visit nttdata.com or LinkedIn to learn more.

NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.