Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.
We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.
Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients’ success.
Job Description
Provide Case Coordination to Medicaid Members. Utilizes critical thinking and judgment to collaborate and inform the case management process, in order to facilitate appropriate healthcare outcomes for members by providing care coordination, support and education for members through the use of care management tools and resources.
Essential Functions:
- Evaluation of Members: Through the use of care management tools and information/data review, conducts evaluations.
- Enhancement of Medical Appropriateness and Quality of Care: Using a holistic approach, consults with case managers.
- Utilizes negotiation skills: Secures appropriate options and services necessary to meet the members' benefits.
- Utilizes influencing/motivational interviewing skills: Ensures maximum member engagement and promotes lifestyle changes.
- Provides coaching, information, and support: Empowers the member to make ongoing independent medical decisions.
- Helps member actively participate: Encourages knowledgeable participation with their provider in healthcare decision-making.
- Monitoring, Evaluation, and Documentation of Care: Utilizes case management and quality management processes.
- Demonstrates skills: Flexibility, independence, organizational ability, teamwork, and a passion for assisting class members of the Colbert Consent Decree.
Additional Information
All your information will be kept confidential according to EEO guidelines.
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