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About arenaflex
At arenaflex, we believe that healthcare is more than just a service—it's a calling. As a leading healthcare organization committed to transforming lives through compassionate care, we are dedicated to serving vulnerable populations who face complex health and social challenges. Our mission is to elevate patient care to unprecedented levels by combining innovative clinical models with heartfelt compassion.
We're currently seeking talented individuals to join our dynamic team as we expand our Dual Eligible Special Needs Plan (DSNP) across new markets nationwide. This is an exciting opportunity to be part of a growing organization that truly cares about making a difference in the lives of those we serve. If you're looking for more than just a job—if you're seeking a career where your work directly impacts communities and changes lives—then arenaflex is the place for you.
Position Overview
We are looking for a motivated and detail-oriented Case Management Specialist to join our remote team. In this role, you will serve as a critical link between our members, healthcare providers, and community organizations. You will leverage your analytical skills and clinical knowledge to coordinate comprehensive care plans that address the full continuum of our members' healthcare and social determinant needs.
This position is ideal for professionals who are passionate about healthcare, possess strong communication skills, and want to make a meaningful impact in the lives of dual-eligible beneficiaries (those enrolled in both Medicare and Medicaid). You will work closely with case managers, clinical directors, and other health programs to overcome barriers and achieve optimal health outcomes for our members.
Key Responsibilities
- Member Assessment: Conduct comprehensive assessments of referred members using care management tools and data review. Evaluate member needs, eligibility, and develop appropriate approaches to case resolution by reviewing benefit plans and available internal and external programs.
- Risk Identification: Identify high-risk factors and service needs that may impact member outcomes. Collaborate with clinical case management or emergency intervention teams as appropriate to ensure comprehensive care coordination.
- Care Plan Coordination: Organize and implement assigned care plan activities while monitoring progress toward goals. Ensure all interventions align with best practices and member-specific needs.
- Quality of Care Enhancement: Work collaboratively with case managers, supervisors, Clinical Directors, and other health programs to overcome barriers to meeting objectives. Present cases at case conferences to obtain multidisciplinary review for achieving optimal outcomes.
- Care Issue Resolution: Identify and escalate quality of care issues through established channels. Utilize negotiation skills to secure appropriate decisions and services necessary to meet member benefits and healthcare needs.
- Member Empowerment: Use influencing and persuasive communication skills to ensure maximum member engagement and promote lifestyle/behavior changes for achieving optimal health levels. Provide coaching, information, and support to empower members in making informed clinical and healthy lifestyle choices.
- Healthcare Navigation: Assist members in effectively and knowledgeably navigating the healthcare system by facilitating communication between members and their providers.
- Documentation and Compliance: Maintain accurate documentation of all care coordination activities using case management and quality management processes in compliance with regulatory, licensure, and company policies and procedures.
Essential Qualifications
- Experience: Minimum of 3+ years of experience in a health-related field
- Education: Bachelor's Degree or equivalent experience required
- Technical Skills: Proficiency with care management tools, data analysis, and electronic health record systems
- Communication: Excellent verbal and written communication skills with the ability to interact professionally with diverse populations
- Critical Thinking: Strong analytical and problem-solving abilities to assess complex situations and develop appropriate solutions
- Organization: Exceptional organizational skills with the ability to manage multiple cases and priorities effectively
- Remote Work: Must have a dedicated home office space with reliable high-speed internet connectivity
Preferred Qualifications
- Professional certifications: CRC (Certified Rehabilitation Counselor), CDMS (Certified Disability Management Specialist), CRRN (Certified Rehabilitation Registered Nurse), COHN (Certified Occupational Health Nurse), or CCM (Certified Case Manager)
- Experience with Medicare and Medicaid programs
- Background in managed care environments
- Experience working with geriatric populations, individuals with special needs, social health concerns, and disabled populations
- Knowledge of assessment tools, screenings, and care planning methodologies
- Bilingual proficiency (English/Spanish or English/Creole) is highly desirable
- Experience with DSNP (Dual Eligible Special Needs Plans) programs
Work Schedule
This is a full-time remote position with standard business hours: Monday through Friday, 8:00 AM - 5:00 PM CST. As a member of our team, you'll enjoy the flexibility of working from home while still being connected to a supportive team environment.
Compensation and Benefits
At arenaflex, we value our employees and believe in rewarding dedication and excellence. The pay range for this position is $19.52 - $40.90 per hour, depending on experience, education, geographic location, and other relevant factors.
In addition to competitive compensation, arenaflex offers a comprehensive benefits package that includes:
- Health Insurance: Full range of medical, dental, and vision coverage for employees and their families
- Retirement Savings: 401(k) retirement savings plan with company matching
- Stock Programs: Employee Stock Purchase Plan available for qualified employees
- Life Insurance: Fully paid term life insurance coverage
- Disability Benefits: Short-term and long-term disability coverage
- Incentive Programs: Eligible for annual bonuses, commissions, or short-term incentive programs
- Wellness Programs: Access to wellness programs, fitness resources, and health coaching
- Education Support: Tuition reimbursement and professional development opportunities
- Paid Time Off: Generous paid time off (PTO) or vacation pay, plus paid holidays throughout the year
- Employee Discounts: Access to exclusive discounts with partner organizations and retail partners
Career Growth Opportunities
At arenaflex, we invest in your future. As part of our team, you'll have access to numerous opportunities for professional growth and advancement. We support continuous learning through free development courses, certification assistance, and leadership training programs. Many of our current leaders started in entry-level positions and advanced through dedication and hard work.
Our DSNP program is rapidly expanding across new markets, creating exciting advancement opportunities for team members who demonstrate commitment and excellence. You'll work alongside experienced healthcare professionals who can mentor you and help you develop specialized skills in case management, care coordination, and healthcare navigation.
Why Join arenaflex?
When you join arenaflex, you become part of a mission-driven organization that truly cares about its employees and the communities we serve. Here's what makes arenaflex an exceptional place to build your career:
- Meaningful Work: Make a real difference in the lives of vulnerable populations who need compassionate care and support
- Remote Flexibility: Enjoy the work-from-home lifestyle with the tools and resources you need to succeed
- Supportive Culture: Be part of a collaborative team that values teamwork, respect, and open communication
- Work-Life Balance: Maintain healthy boundaries with consistent schedules and generous time off
- Continuous Learning: Access ongoing training and development opportunities to grow your skills and career
- Comprehensive Benefits: Enjoy industry-leading benefits that support your physical, financial, and emotional well-being
- Community Impact: Contribute to expanding healthcare access in communities that need it most across the nation
The Application Process
If you're ready to take the next step in your healthcare career and join a team that's passionate about transforming lives, we encourage you to apply today. Simply click the application link to register and submit your credentials. Our recruiting team will review your application and contact qualified candidates for next steps.
We're excited to learn how your skills, experience, and passion for healthcare can contribute to our mission of providing exceptional care to dual-eligible beneficiaries. Join us in this exciting opportunity as we grow and expand the DSNP program to transform lives in new markets across the country!
Equal Opportunity Employer
arenaflex is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, color, religion, national origin, sex, age, disability, genetic information, sexual orientation, gender identity, or any other protected characteristic. All employment decisions are based on qualifications, merit, and business needs.