Care Specialist III, Field Based -Hudson and Essex Counties

Employer Industry: Health Insurance Why consider this job opportunity: - Salary up to $93,030 - Comprehensive health benefits including Medical, Dental, and Vision - Generous Paid Time Off (PTO) and Paid Volunteer Time Off - Opportunities for career advancement and growth within the organization - Incentive plans and tuition reimbursement available - Field-based position requiring local travel, allowing for community engagement What to Expect (Job Responsibilities): - Assess and manage cases to facilitate healthcare services for members - Collaborate with members, families, physicians, and healthcare teams to ensure coordinated care - Document care accurately and comprehensively according to organizational policies - Advocate for members by coordinating resource utilization and evaluating services - Engage with members to encourage participation in case management programs What is Required (Qualifications): - Bachelor’s degree in a health-related or behavioral science field - Minimum of three (3) to four (4) years of broad clinical experience - At least three (3) years of experience in home care, discharge planning, or case management - Two (2) years of experience in the managed care industry - Active Unrestricted NJ SW License preferred; candidates with a restricted license will not be considered How to Stand Out (Preferred Qualifications): - Experience with the elderly frail population - Strong knowledge of managed care principles and concepts - Ability to effectively solve problems and locate community resources - Proficient in Microsoft Office applications (Excel, Access, Word, etc.) - Strong organizational, oral, and written communication skills #HealthInsurance #CareManagement #CareerOpportunity #ComprehensiveBenefits #CommunityEngagement We prioritize candidate privacy and champion equal-opportunity employment. Central to our mission is our partnership with companies that share this commitment. We aim to foster a fair, transparent, and secure hiring environment for all. If you encounter any employer not adhering to these principles, please bring it to our attention immediately. We are not the EOR (Employer of Record) for this position. Our role in this specific opportunity is to connect outstanding candidates with a top-tier employer. Apply tot his job