Candidate Requirements 

Education/Certification 

Required: Requires a Bachelor's degree and 2 – 4 years of related experience.  (Bachelors Degree should be within the realm of Healthcare) – Psychology, Sociology, etc.  

Field experience would need to be long term to have the team consider someone that does not have a degree within the space they are looking for.  

Preferred: n/a 

Licensure 

Required: Valid driver's license  

Preferred: n/a 

• Years of experience required 

• Disqualifiers 

• Best vs. average 

• Performance indicators 

Must haves:  

• 2+ years of Care Management experience (field experience is a must) 

• Caseloads of 50,60,70 members – bonus if it is geriatric  

• Long Term Care Medicaid experience  

• Medicaid / Medicare experience  

• Need to see experience being able to manage high case load  

• Fast paced environment regarding new processes and programs 

• They must be comfortable being able to connect with IT should their equipment fail in the field, etc. or be able to go into an office location or IT space.  

• All documentation must be within system within 24 hours of completion  

• Experience with electronic medical health records 

• Home Health Experience 

Nice to haves:  

1. Discharge Planning  

1. Working with TruCare which is the software the team uses 

Disqualifiers:  

• Not having field experience  

• Not having previous experience with high caseloads 

Performance indicators: Bilingual always preferred – req will indicate if Bilingual is required via the notes section 

• Top 3 must-have hard skills 

• Level of experience with each 

• Stack-ranked by importance 

• Candidate Review & Selection 

1 

2 years of field case management  

2  

Technology Savy  

3 

Must be able to look at calendar and manage time - ensuring enough time for documentation