Care Management Associate - Remote

Title: Care Management Associate - Remote

Mandatory skills:

Care Management, Care Coordination,
Medicaid service, Medicaid eligibility, Medicaid processing,
behavioral health benefit, healthcare organizations, health plan,
Health Risk Assessments, Electronic Record System, CANS,
data entry, calls, data systems,
critical thinking, problem solving, multitask, accountability,
managed care, member services, administrative support

Description:

The client manages the behavioral health benefit for eligible children and young adults receiving Medicaid services. The Care Management Associate (CMA) will regularly interface with various groups around the state who are providing care coordination services or supporting the services that are utilized by our membership. This can include but are not limited to, care coordinators, managers, community members, referral sources, children services, children/young adults, guardians, family members, case managers, behavioral health providers, etc.

This role serves as the "Front desk" to the client plan. This individual will work on a variety of administrative tasks to assist the Care Coordination department that may include but are not limited to, the inbound care management queue line, responding to questions and inquiries from both members/guardians or parties assisting with services. They will be responsible for taking referrals for the client, confirming their Medicaid eligibility and processing the referral. This role will also complete Health Risk Assessments for all members assigned. It is imperative that the CMA must be able to practice both a high level of professionalism and compassion at all times when interacting with various departments or member representatives. The CMA will also support administrative needs that involve comfortability with working in complex data systems, an Electronic Record System and/or Excel at any given time. Tasks can change with little notice to meet the demands of the health plan requiring flexibility.

Experience:
Recent experience working for other MCOs, specifically within the last 5-7 years in the client. Experience may be replaced with recent employment with healthcare organizations or companies. Must be able to pass the CANS assessment and obtain certification within 90 days of employment.

It is essential that staff must be able to demonstrate and articulate in an interview how they meet the qualifications below:
Ability to articulate strength in the area of critical and quick thinking
Detail oriented for the purpose of manual data entry.
Ability to handle escalated calls
Problem solving skills in stressful situations
Ability to multitask in multiple systems at one time
Ability to take initiative and accountability in own learning
Ability to articulate how you contribute to a positive work environment
Ability to independently manage time and assigned tasks

Education:
HS Diploma, GED or Equivalent Experience

VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment. The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran. Please contact us at for any complaints, comments and suggestions.

Contact Details :

VIVA USA INC.
3601 Algonquin Road, Suite 425
Rolling Meadows, IL 60008