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
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