Clinical Care Manager responsible for coordinating care for dually - eligible enrollees in MA. Engaging community resources and healthcare providers to improve health outcomes.
About the role
- Care Manager at Independent Living Systems coordinating comprehensive care plans for individuals requiring long-term support. Collaborating with multidisciplinary teams to facilitate access to Medicaid and support services.
Responsibilities
- Conduct comprehensive assessments of members physical, mental, and social needs to develop individualized care and discharge plans.
- Coordinate with healthcare providers, social service agencies, and community resources to facilitate access to Medicaid and other benefits.
- Monitor members progress and adjust care plans as necessary to address changing needs and ensure continuity of care.
- Provide education and support to members and their families regarding available services, treatment options, and long-term care planning.
- Maintain detailed documentation and case records in compliance with regulatory standards and organizational policies.
Requirements
- Bachelor’s degree in Social Work, Human Services, Nursing, or a related field.
- Experience in case management within healthcare or social services settings.
- Knowledge of Medicaid policies and procedures.
- Relevant experience may substitute for the educational requirement on a year-for-year basis.
- Master’s degree in Social Work (MSW) or related discipline (preferred).
- Certification in Case Management (CCM) or equivalent (preferred).
- Experience working with diverse populations in community-based settings (preferred).
- Familiarity with electronic health records (EHR) and care coordination software (preferred).
- Training in trauma-informed care or behavioral health interventions (preferred).
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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