Care Manager coordinating healthcare services for members, collaborating with care teams and support systems. Focused on improving member quality of life and health outcomes through personalized care.
Responsibilities
Collaborates with members of an inter-disciplinary care team to improve quality and meet individual needs
Facilitates communication and coordinates care through assessments and individualized care planning
Engages members and natural support systems using strength-based assessments and trauma-informed care
Identifies and manages barriers to care plan goals
Educates members about treatment options and community resources
Requirements
Nursing degree from an accredited nursing program or Bachelor’s degree in a health care field or equivalent years of relevant work experience
Advanced degree associated with clinical licensure is preferred
A minimum of three (3) years of experience in nursing or social work or counseling or health care profession
Three (3) years Medicaid and/or Medicare managed care experience is preferred
Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
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