Case Manager at Abarca Health

Mullica Hill, New Jersey, United States

Abarca Health Logo
Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Non-Profit, Social Services, HealthcareIndustries

Requirements

  • Bachelor's level practitioner with at least 2 years of experience in social service-related field preferred
  • Must have and maintain a valid driver's license with an acceptable driving record
  • Must be able to exercise independent thinking and good judgment under all circumstances
  • Must be able to analyze work, set goals, develop plans and utilize time effectively and efficiently

Responsibilities

  • Serve as the contact point, advocate and informational resource for clients, care team, family/caregivers and community resources regarding client's service plan
  • Partner with clients to monitor adherence to their service plan, evaluate effectiveness, monitor progress in a timely manner and facilitate changes as required
  • Facilitate client linkages, referrals and access to appropriate treatment, community supports and medical or specialty providers according to the service plan
  • Maintain an active caseload of approximately 10-12 families, providing in person in home therapeutic sessions to address treatment plan goals
  • Educate patient and family/caregiver(s) about relevant community resources
  • Cultivate and maintain relationships with external community providers and supports
  • Complete and submit accurate reports and chart documentation in a complete and timely manner according to program guidelines and established procedures
  • Ensure quality and accuracy of written and verbal communications
  • Support the Quality/Compliance/Risk function as required
  • Perform other related duties as assigned

Skills

Case Management
Evidence-Based Practices
Trauma-Informed Care
Life Skills Coaching
Group Facilitation
Community Referrals
Service Planning
Client Advocacy
Documentation
Family Support

Abarca Health

Pharmacy Benefit Management services provider

About Abarca Health

Abarca Health provides Pharmacy Benefit Management (PBM) services, focusing on flexible and user-friendly solutions for health plans, employers, and government programs like Medicare and Medicaid. Its main product, the Darwin platform, allows clients to quickly implement and modify benefit designs while ensuring compliance with regulations. Abarca Health manages over $5.3 billion in drug spend and processes 100 million prescription claims annually, offering additional services like home delivery for prescriptions. The company's goal is to deliver exceptional service and innovative solutions in the PBM market.

Aventura, FloridaHeadquarters
2005Year Founded
VENTURE_UNKNOWNCompany Stage
HealthcareIndustries
501-1,000Employees

Benefits

PTO
Parental leave
Work flexibility
Health insurance
Wellness stipend
401k
Tuition reimbursement
Leadership development programs

Risks

Increased competition from Amazon Pharmacy and Mark Cuban's Cost Plus Drug Company.
Growing focus on specialty drugs may require platform adaptation.
Shift towards price transparency could pressure Abarca's pricing models.

Differentiation

Abarca Health's Darwin platform is highly adaptable and user-friendly.
The company offers innovative programs like Triple S en Casa for home delivery.
Abarca Health ensures compliance with ever-changing healthcare regulations.

Upsides

Abarca transitioned two million members to Darwin in 18 months, showing operational efficiency.
Collaboration with Blue Shield of California boosts Abarca's reputation in the PBM sector.
Recognition as a top IT workplace attracts top talent, driving innovation.

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