Community Manager responsible for managing social media channels and client interactions. Collaborating with internal teams to create engaging content and drive community growth.
About the role
- Care Manager collaborating with interdisciplinary care teams to improve care quality and member satisfaction. Responsibilities include developing care plans, engaging with members and ensuring effective resource utilization.
Responsibilities
- Collaborates with inter-disciplinary care team (ICT) to improve quality of care
- Engages the member and their natural support system through strength-based assessments
- Facilitates communication, coordinates care and service of the member
- Develops and regularly updates a person-centered individualized care plan (ICP) in collaboration with the ICT
- Identifies and manages barriers to achievement of care plan goals
- Educates the member/natural supports about treatment options and community resources
- Completes psychosocial and behavioral assessments by gathering information from members and stakeholders
- Monitors and promotes effective utilization of healthcare 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
- 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
- Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
- Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Professional Clinical Counselor is required.
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible working hours
- Professional development opportunities
- Bonuses
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