HimalayasHimalayas logo
SagilitySA

Care Specialist

Sagility is a tech-enabled healthcare business process management company that provides a broad spectrum of transformational services to help payers and providers deliver efficient, high-quality care.

Sagility

Employee count: 5000+

United States only

Stay safe on Himalayas

Never send money to companies. Jobs on Himalayas will never require payment from applicants.

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

Care Specialist

Job Description:

Job Description

The Sagility team is currently hiring for the role of Care Manager. The Care manager works closely with members and their caregivers to promote habits to improve quality of life and attainment of health goals using a Whole Person Care approach. The Care Manager creates a customized plan to meet the clients’ key risks through a collaborative approach with the clients and their caregivers.

The Care Manager is responsible for developing a health coaching relationship with members and assisting the members through the process of actively working towards better health by providing support, encouragement, follow-up, and education on chronic conditions. The Care Manager supports coordination of care and condition management activities with members, caregivers, and providers.

This is a fully remote work at home role, you must have a quiet, private workspace and hard-wired internet with speeds greater than 5MB upload and 10MB download.

Essential Functions:

  • Develop a trusting relationship with members to support the member through the process of changing behavior and improving management of their health by utilizing motivational interviewing techniques and change management concepts.
  • Assist in coordinating members’ relationships with multiple service systems. This may include activities such as:
    • Educational resources
    • Recommendations for functional adaptations, durable medical equipment, and care coordination for other skilled interventions and preventive services.
    • Recommendations for follow up care with physicians and specialists as clinically indicated. Present health education in a culturally appropriate format. For example, teaching a member how to prepare traditional foods using less fat
  • Provide social support to improve members’ adherence to medical treatment plans
  • Encourage the member in adoption of habits that are conducive to improved management of their chronic condition
  • Develop an individualized plan including goals and plan of action
  • Serve as a resource to Care Management and other team members

Job Requirements:

Education:

College degree in a health-related field preferred

Professional Qualification:

  • Current and unrestricted OTA or PTA license/certification will be required

Experience:

  • Minimum 1-3 years’ clinical experience with patient assessments.
  • Experience utilizing Motivational Interviewing techniques and behavioral change theory to facilitate member adoption of positive changes and improve health.
  • Experience working with the Medicare population.

Functional/Technical Knowledge, Skills and Abilities Required:

  • Excellent interpersonal skills
  • Ability to understand and interpret policy provisions.
  • Product knowledge
  • Typing Skills
  • Problem Solving Skills
  • Proficient computer skills
  • Demonstrates empathy
  • Strong organizational skills
  • Strong member advocate: willing to go above and beyond normal responsibilities to provide the best service possible
  • Ability to assist member in navigating the healthcare system and community-based resources
  • Culturally sensitive and competent for assigned membership
  • Strong organizational skills; ability to multi-task and be nimble
  • Ability to work remotely
  • Ability to determine when to escalate issues appropriately and in a timely manner

Salary Range:

Sagility Offers Competitive Benefits Including:

  • Medical
  • Dental
  • Vision
  • Life Insurance
  • Short-Term and Long-Term Disability
  • Flexible Spending Account
  • Life Assistance Program
  • 401K with employer contribution
  • PTO and Sick Time
  • Tuition Reimbursement

Join our team, we look forward to talking with you!

An Equal Opportunity Employer/Vet/Disability

Location:

Work@Home USAUnited States of America

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Education

Professional certificate

Experience

1 year minimum

Location requirements

Hiring timezones

United States +/- 0 hours

About Sagility

Learn more about Sagility and their company culture.

View company profile

At Sagility, the core of our identity is a deep-seated commitment to transforming the healthcare experience. Our name itself, a blend of 'sage' and 'agility,' reflects our philosophy: to apply wisdom and expertise with dynamic, responsive action. We are a collective of over 30,000 passionate individuals across five countries, all driven by the common goal of making healthcare more efficient, effective, and empathetic. Our culture is built on a foundation of doing right by our people, fostering an environment that is inclusive, open, and welcoming. We believe that by empowering our team with growth opportunities, comprehensive training, and access to advanced technologies, we enable them to make a tangible difference in the lives of the members and patients we serve.

Our mission is to be more than just a service provider; we aim to be a strategic partner to healthcare payers and providers, helping them navigate the complexities of the industry. We combine our decades of healthcare domain expertise with cutting-edge technology and analytics to deliver transformative solutions. This synergy allows us to optimize the entire member and patient journey, from clinical operations and member engagement to payment integrity and claims management. We are constantly innovating, leveraging technologies like artificial intelligence and machine learning to enhance clinical and financial outcomes. Our team is encouraged to think creatively and bring fresh perspectives, ensuring that we are always at the forefront of healthcare innovation. We are not just processing transactions; we are building healthier communities and shaping the future of healthcare, one interaction at a time.

Employee benefits

Learn about the employee benefits and perks provided at Sagility.

View benefits

Life Insurance

Company-provided life insurance.

Flexible Spending Account (FSA)

Flexible Spending Account for healthcare expenses.

Medical, Dental, and Vision coverage

Comprehensive health coverage available after 90 days.

Short-Term and Long-Term Disability options

Options for short-term and long-term disability insurance.

View Sagility's employee benefits
Claim this profileSagility logoSA

Sagility

View company profile

Similar remote jobs

Here are other jobs you might want to apply for.

View all remote jobs

29 remote jobs at Sagility

Explore the variety of open remote roles at Sagility, offering flexible work options across multiple disciplines and skill levels.

View all jobs at Sagility

Remote companies like Sagility

Find your next opportunity by exploring profiles of companies that are similar to Sagility. Compare culture, benefits, and job openings on Himalayas.

View all companies

Find your dream job

Sign up now and join over 100,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan