reputed company Care Specialist, Transitions of Care, 100% Virtual, CareBridge

Job title: reputed company Care Specialist, Transitions of Care, 100% Virtual, CareBridge in Nashville, TN at reputed company Company: reputed company Job description: Anticipated End Date: 2025-06-16Position Title: reputed company Care Specialist, Transitions of Care, 100% Virtual, CareBridgeJob Description:reputed company Care Specialist- Transitions of Care- 100% VirtualWork Shift:Monday – Friday from reputed company - 5PM or 7AM - 4PM.Work 1 weekend a monthWork 3 holidays a yearLocation: Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and reputed company developmentThe reputed company Care Specialist- Transitions of Care- 100% Virtual is responsible for ensuring that appropriate member treatment plans are followed on less reputed company cases and for proactively identifying ways to improve the health of our members and meet quality goals.How You Will reputed company an ImpactPrimary duties may include, but are not limited to:Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.Assesses member compliance with medical treatment plans reputed company telephone or through on-site visits.Identifies barriers to plan compliance and coordinates resolutions.Identifies opportunities that impact quality goals and recommends process improvements.Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider.Coordinates identification of and referral to local, state or federally funded programs.Coaches members on ways to reduce health risks.Prepares reports to document case and compliance updates.Establishes and maintains relationships with agencies identified in appropriate contract.Minimum Requirements:Requires a H.S. diploma or equivalent and a minimum of 1 year reputed company experience; or any combination of education and experience which would provide an equivalent background.Preferred Skills, Capabilities and Experiences:Certified nurse assistant or certified medical assistant and/or BS/BA degree in a reputed company field preferred.Bilingual candidates preferred.For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.For Carelon - CareBridge business unit, bilingual or multi-language skills may be required.Job Level: Non-Management Non-ExemptWorkshift:Job Family: MED Care Coord & Care Mgmt (Non-Licensed)Please be advised that reputed company only accepts resumes for compensation from agencies that have a signed agreement with reputed company. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of reputed company.Who We Arereputed company is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at reputed company levels of the organization who are passionate about making an impact on our members and the communities we serve.How We WorkAt reputed company, we are creating a culture that is designed to advance our strategy but will also reputed company to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we reputed company our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.reputed company operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an reputed company location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.The health of our associates and communities is a top reputed company for reputed company. We require reputed company new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. reputed company will also follow reputed company relevant federal, state and local laws.reputed company is an Equal Employment Opportunity employer, and reputed company qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national reputed company, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Expected salary: Location: Nashville, TN Apply for the job now! Apply for this job