In this full-time opportunity, you will be responsible for implementing an appropriate quality and cost-effective plan that utilizes all resources available to meet those needs of our clients. The Care Manager will assist the clients in reaching their optimum level of wellness, self-care management, and functional capabilities. We are seeking an individual with a minimum five years in healthcare related field, with 2 years as a Care Manager experience. Interested? Apply today!

Job Summary:

• Oversee caseload of managed care members
• Review and evaluate the member’s assessment and UAS information
• Develop comprehensive service plans
• Make referrals to appropriate health and community resources in timely manner
• Review and authorize request for services according to workflows and time frame
• Maintain clear, effective communication with member continually, including monthly calls
• Educate members and caregivers on covered services and benefits
• Evaluate member in his/her residence on an as needed basis
• Promote healthy living and injury prevention for members
• Evaluate available clinical data and notes, including assessments
• Evaluate member’s response to interventions and makes modifications as necessary
• Collaborate with interdisciplinary team
• Document all interventions
• Maintain member privacy, confidentiality, health, and safety
• Adhere to ethical, legal, accreditation, certification, and regulatory standards and guidelines
• Demonstrate cultural competence by being respectful of and responsive to the health beliefs, practices, cultural, and language needs of the member and his/her support system
• Participate in Quality Assurance and Improvement activities
• On call responsibilities
• Performs all other duties as assigned by supervisor
• Full Time
• Monday - Friday 8am - 5pm (can work remotely)