Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes
Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs
Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources
Identifies problems/barriers to care and provide appropriate care management interventions
Coordinates between the member and/or family/caregivers and the care provider team
Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan goals
Provides resource support to members and care managers for local resources
Facilitate care management and collaborate with appropriate providers or specialists
Collects, documents, and maintains all member information and care management activities
Provides and/or facilitates education to members and their families/caregivers on disease processes
Requirements
Two (2) years minimum of related professional pediatric care experience
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