Supplemental Care Manager- Remote

Job Description:Sharecare is the leading digital health company that helps people – no matter where they are in their health journey – unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit  www.sharecare.com .Job Summary:The Supplemental Care Manager supports the Value Based Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Supplemental Care Manager will ensure that the ongoing needs of enrolled members, caregivers, and their providers are met and that strong working relationships are maintained and supported while the primary Care Manager is unavailable to give member care (e.g., leave of absence, PTO, extended time away from work, etc.). The Supplemental Care Manager will advocate and guide utilizing motivational interviewing techniques and intervene on behalf of the members. The Supplemental Care Manager will also perform outreach calls to prospective new members to engage them into the program.Essential Job Functions:The Supplemental Care Manager will perform the following duties while the primary Care Manager is unavailable: 

Advocate, guide, and intervene on behalf of existing members to ensure the continued successful implementation of their current Care Plans.  

Conduct weekly or biweekly follow up calls with members as indicated by SOP.

Assistmembers in the coordination of any additional tests, images and consults with specialists as deemedappropriate by the PCP.  

Identify relevant benefit and community resources, evaluates Social determinants of Health and facilitates referrals based on member need. Conductmember education in support of Standards of Care guidelines and related health issues, including medication reconciliation, using the most appropriate modality for the member. 

Utilizes established documentation standards to maintain quality of care plan documentation to include member progress toward and barriers to achievement of the care plan objectives/outcomes.   

Leverages existing communication and referral mechanisms to continue seamless communication between the CareFirst program, the primary care practice and the Care Coordination Team.   

Abide by Value Based Care Management Program Description and Guidelines.

Meet productivity and quality metrics as outlined by leadership for each year.

Complete mandatory training and annual competency testing.

Actively participate in team huddles and contribute to clinical learning.

Remain current on clinical knowledge via self-directed learning.

The Supplemental Care Manager is also responsible for outreaching new members via an automated telephony system to engage them into the Care Management program.

Specific Skills/ Attributes:

Strong motivational interviewing and case management skills.

Ability to be self-directed, highly organized, multi-task capable, and proficient in problem solving skills.

Ability to meet established deadlines.

Exceptional oral, written, and presentation skills. 

Ability to effectively communicate and provide positive customer service to internal and external customers, meeting the expectations for service excellence.

Successfully partner with all levels of administrative and professional personnel.

Demonstrate resilience and effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads.

Success with engaging members. Outstanding customer service skills and ability to adapt approach to various personalities.

Ability to extrapolate information from a variety of sources including medical records to create concise records that accurately depict the medical “story” of the member.

Ability to proactively identify and assimilate quality improvement processes into practice.

Experience with medically oriented care plan documentation.

Experience working effectively within a matrix organizational design.

Qualifications:

Current multi-state compact Registered Nurse licensure in state of residence is required, with ability to obtain additional licenses without restriction. BSN preferred.

Training in motivational interviewing preferred.

Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred.

Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications.

Maximize all technology inclusive of Microsoft Teams, Microsoft Word, Microsoft Excel, Microsoft Outlook, laptop computers, and all other relevant unified communication technologies.

This position will be based from a home office which must satisfy all HIPAA requirementsand minimum internet connectivity requirements.

Ability to communicate with members, other members of the team, physicians, and plan representatives.

Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.