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MMA Care Manager at ILSHealth | JobVerse
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MMA Care Manager
ILSHealth
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MMA Care Manager
United States
Full Time
4 days ago
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About this role
Role Overview
Coordinate and manage comprehensive care plans for members enrolled in Managed Medical Assistance (MMA) programs.
Focus on improving member outcomes by assessing individual health needs.
Facilitate access to appropriate healthcare services and ensure adherence to treatment protocols.
Act as a liaison between member, healthcare providers, and insurance entities.
Monitor member progress and address barriers to care to enhance quality of life and reduce hospital readmissions.
Requirements
Bachelor’s degree in Nursing, Social Work, Public Health, or a related healthcare field.
Current and valid professional licensure or certification relevant to care management (e.g., RN, LCSW).
Minimum of 3 years’ experience in case management, care coordination, or a related healthcare role.
Strong knowledge of Medicare Advantage programs, healthcare regulations, and care management best practices.
Proficiency in electronic health records (EHR) systems and care management software.
Relevant experience may substitute for the educational requirement on a year-for-year basis.
Master’s degree in Nursing, Social Work, Public Health, or a related healthcare field (preferred).
Certified Case Manager (CCM) or Accredited Case Manager (ACM) certification (preferred).
Experience working specifically with Medicare Advantage populations (preferred).
Advanced degree in healthcare administration, nursing, or social work (preferred).
Familiarity with population health management and quality improvement methodologies (preferred).
Bilingual abilities to effectively communicate with diverse member populations (preferred).
Apply Now
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