TrentonRecruiter
the smart solution for Trenton jobs

LTC Enrollment Specialist - Southern NJ Region

Company: Wellcare
Location: Trenton
Posted on: April 14, 2019

Job Description:

This position will have work from home capabilities and it supports the southern New Jersey counties to include: Burlington, Cape May, Ocean, Gloucester, Atlantic, Camden, Salem, and Cumberland. Must hold valid Driver's License and be comfortable with commuting weekly, there will be mileage reimbursement for travel. Bilingual in Spanish or Mandarin - highly preferred! Assess applicants in the community for eligibility and enrollment in our Managed Long Term Care program. Provides overview of program's benefits to applicant, family member(s), care giver(s). Complete medical assessment of applicant and develop personalized plans of care. Complete Reassessment as needed of our members in the Managed Long term Care Program.
Reports to: Director of Clinical Operations Department: NJ-LT Care Location: Northern New Jersey
Essential Functions:

  • Conduct home visit(s) to educate applicant, family and/or applicant's caregiver(s) on program benefits and design.
  • Identify applicant's health needs and complete medical assessment of applicant.
  • Utilize WellCare designated criteria along with clinical knowledge to develop personalized plan of care.
  • Initiate direct communication with health care providers involved in the care of the applicant to obtain complete and accurate information needed to complete plan of care.
  • Negotiate appropriate care plan based on health assessments with health care providers, member and caregiver.
  • Collect information concerning eligibility, provider status, benefit coverage, and coordination of benefits.
  • Input visit and assessment data into systems.
  • Adhere to all HIPPA standards and confidentiality requirements.
  • Performs other duties as assigned. Additional Responsibilities:
    • Valid Drivers license may be required Candidate Education:
      • Required An Associate's Degree in Nursing
      • Preferred A Bachelor's Degree in Nursing or related field Candidate Experience:
        • Required 4 years of experience in A clinical acute care setting, preferably in home health and/or geriatrics.
        • Required Other Current case management experience
        • Preferred Other Public speaking and health education experience Candidate Skills:
          • Intermediate Knowledge of healthcare delivery
          • Intermediate Ability to effectively present information and respond to questions from families, members, and providers
          • Intermediate Ability to effectively present information and respond to questions from peers and management
          • Intermediate Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions
          • Intermediate Ability to influence internal and external constituents
          • Intermediate Ability to represent the company with external constituents
          • Intermediate Demonstrated customer service skills
          • Intermediate Ability to create, review and interpret treatment plans
          • Intermediate Demonstrated interpersonal/verbal communication skills
          • Intermediate Demonstrated written communication skills Licenses and Certifications:
            A license in one of the following is required:
            • Required Licensed Registered Nurse (RN) Technical Skills:
              • Required Intermediate Microsoft Excel
              • Required Intermediate Microsoft Outlook
              • Required Intermediate Microsoft Word
              • Required Intermediate Healthcare Management Systems (Generic) Languages:
                • Preferred Other Bilingual skills About usHeadquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at . EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.

Keywords: Wellcare, Trenton , LTC Enrollment Specialist - Southern NJ Region, Other , Trenton, New Jersey

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


Real Estate - Licensed Associate Needed
Description: Whether you are a newly licensed real estate agent or a seasoned professional with another company, you have to check out Keller Williams Helping agents create a life by design is our only job. KW is (more...)
Company: Keller Williams Realty
Location: Lancaster
Posted on: 04/25/2019

Part Time Nanny for Newborn- To Start August 2018
Description: Job title: Nanny Job location: Philadelphia, PA 19147 Queen Village Children in the family: Child 1: Female born May 2018 More Details: Any medications or special needs: none Family Pets: One large (more...)
Company: Philadelphia Nanny Network
Location: Cherry Hill
Posted on: 04/25/2019

independent benefit consultant
Description: Nation's largest provider of discount healthcare programs is looking for Benefit Consultants. We have been
Company: ameri plan
Location: White Plains
Posted on: 04/25/2019


Loss Prevention Officer On-Call - The Ritz-Carlton New York, Westchester - (19000RCC)
Description: Loss Prevention Officer On-Call At more than 80 award-winning properties worldwide, The Ritz-Carlton Ladies and Gentlemen create experiences so exceptional that long after a guest stays with us, the experience (more...)
Company: Marriott International, Inc.
Location: White Plains
Posted on: 04/25/2019

Benefits Specialists Telecommute
Description: Do you enjoy helping others Growing 27-year-old National Discount Health Care company in the US is seeking bright, motivated people
Company: Ameriplan
Location: Mount Vernon
Posted on: 04/25/2019

Work From Home- Interviewing Daily
Description: Currently interviewing motivated individuals to work from home. Customer service
Company: AmeriPlan
Location: Lakewood
Posted on: 04/25/2019

Law Enforcement Transcriber
Description: This position is with Mommy Jobs Online, so please visit mommyjobsonline.com to apply and get registered on our site directly Individuals who can transcribe audio content of criminal investigations,
Company: Mommy Jobs Online
Location: Levittown
Posted on: 04/25/2019

Freelance Job Promoter - Work From Home
Description: Mommy Jobs Online is now recruiting Freelance Job Promoters to work remotely. Great opportunity for the perfect person that has a home office setup to work remotely. At Mommy Jobs Online our qualified (more...)
Company: Mommy Jobs Online
Location: Lakewood
Posted on: 04/25/2019

Landscaping Supervisor
Description: Premier Mt. Laurel Landscape Design-Build Contractor HIRING: Landscape Field Operations Supervisor for both Hardscape and Landscape. Must have full working knowledge of all aspects of hardscaping and (more...)
Company: Eric's Nursery & Garden Center
Location: Cherry Hill
Posted on: 04/25/2019

Dog Sitter - Flexible Hours, Work From Home, Play With Dogs
Description: Want to make money watching dogs at home or around your neighborhood We re looking for animal lovers like you to join Rover as independent pet sitters. Set your own schedule Full time, part time work (more...)
Company: Rover
Location: Scranton
Posted on: 04/25/2019

Log In or Create An Account

Get the latest New Jersey jobs by following @recnetNJ on Twitter!

Trenton RSS job feeds