Provides mental health assessment, diagnosis, and crisis intervention for adult and child patients. Coordinates care and assists in accessing community resources while ensuring quality management activities.
About the role
- Care Manager collaborating with interdisciplinary care team and community organizations to improve member care quality. Facilitating communication and coordinating care plans to address members' needs
Responsibilities
- Collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population with culturally competent delivery of care, services and supports
- Engages the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens
- Facilitates regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member
- Develops and regularly updates a person-centered individualized care plan (ICP) in collaboration with the ICT, based on member’s desires, needs and preferences
- Identifies and manages barriers to achievement of care plan goals
- Assists with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management
- Educates the member/ natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made
- Monitors and promotes effective utilization of healthcare resources through clinical variance and benefits management
Requirements
- Nursing degree from an accredited nursing program or Bachelor’s degree in a health care field or equivalent years of relevant work experience
- A minimum of three (3) years of experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience)
- Three (3) years Medicaid and/or Medicare managed care experience is preferred
- Three (3) years maternity experience preferred
- Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Professional Clinical Counselor is required
- Case Management Certification is highly preferred
Benefits
- Bonus tied to company and individual performance
- Comprehensive total rewards package
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