Join a passionate and purpose-driven team of colleagues who contribute to Trustmark’s mission of helping people increase wellbeing through better health and greater financial security. At Trustmark, you’ll work collaboratively to transform lives and help people, communities and businesses thrive. Flourish in a culture where appreciation, mutual respect and trust are constants, not just for our customers but also for ourselves.
POSITION OVERVIEW: Our Case Management team is expanding and we’re hiring a CASE MANAGER that will promote and support the improvement of health outcomes for members while providing assistance during periods of illness and injury. In this role, you will assess, plan, implement, coordinate, monitor and evaluate options and services to meet members’ individual healthcare needs for a defined case load. You’ll promote high quality, cost-effective outcomes to meet members’ needs throughout the continuum of care.
You’ll work with a tenured, talented and caring team of Case Managers. Ideally you’re a strong communicator, able to work well independently at times but also be a champion of collaboration both with internal associates and external stakeholders.
THIS POSITION CAN BE ENTIRELY VIRTUAL/REMOTE/WORK FROM HOME AND THE INDIVIDUAL CAN SIT ANYWHERE IN THE US.
RESPONSIBILITIES:
- Establishes an engaged relationship with the member, family, physicians, and other providers to determine needs and assess the options for optimal outcomes, demonstrating sensitivity to culturally and socially diverse populations.
- Assesses member’s status and treatment plan and identifies gaps or barriers to healthcare. Through collaboration with the member or family, establishes a member centric care plan, identifies goals and needed interventions to reach goals.
- Performs discharge planning coordination.
- Maintains accurate documentation supporting actions taken during the life of the case and in accordance with department standards, including education provided, savings, assessments, and records of member interactions.
- Adheres to professional practice within scope of licensure and certification standards and following all case management policies and procedures.
- Monitors Utilization Review requests to stay informed about the status of pending authorization requests that may impact the member’s case.
- Participates in department and corporate training.
QUALIFICATIONS:
- Bachelor’s Degree preferred, RN License required
- Current CCM certification or obtain within 18 months of hire (we’ll pay for it)
- 3+ years of experience in a clinical setting
- Excellent time management, interpersonal, communication, documentation and customer service skills
- Ability to work in a busy, fast-paced environment both independently and collaboratively with the team, reprioritizing workload to meet customer and business needs
- Comfort with phone communications that facilitate engagement including the ability to effectively communicate with employees, employers, physicians, families in crisis, community agencies and all levels of leadership in an efficient yet empathetic manner
- Excellent critical thinking skills to deal with problems in varying situations and reach reasonable solutions, sometimes meaning using judgment and deviating from typical processes
- Proficient in the MS Suite, particularly in Word and Outlook
All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, sexual orientation, sexual identity, age, or disability.
Required Skills
Required Experience