Well to start there are new guidelines daily for case mangers. They tell you 60 cases max but some have upwards of 90, ridiculously understaffed. Expectations are unrealistic as cases are assigned daily that need to have outreach attempts within 24 hours on top of the outreach for cases already open.You have to find providers that accept the health plan b/c the website has false information. When provider contact is communicated w/members if they decline for any reason start the search again. You have to manage grievances and additional duties as assigned. You have to be available to complete assessments for random members when they ask. You have to be on TEAMS and responding constantly. Meetings everyday sometimes twice. There are meetings to discuss upcoming meetings! Some member refuse to work w/case managers if they don’t speak the language despite there being an interpreter available and management will not reassign despite member request. Field visits are supposed to be within 40 miles, mgt disregards saying be creative. For this to be a insurance provider, one would think benefits are great, absolutely not.
