Care Manager
3 weeks ago
Duties & Responsibilities
* Deliver person-centered care management services in compliance with regulatory standards and in alignment with the agency’s quality management plan, policies, and standard operating procedures.
* Responsible for the completion of a comprehensive assessment/reassessment process.
* Identify gaps in service provision and make referrals when appropriate. Advocate on the member’s behalf, to reach their identified goals and live a meaningful and quality life.
* Develop, implement, and monitor member Life Plans within required timeframes, by leading an interdisciplinary team planning process, with the person at the center.
* Develop strategies that address conflict or disagreements in the person-centered planning process and working with the interdisciplinary team to resolve those conflicts in a timely manner.
* Complete all required service documentation with stated timeframes. Ensure all billing critical documentation is present and valid prior to the submission of any billable service documentation.
* Maintain the member’s continued eligibility for care management through the completion of an annual Level of Care (Re)Determination, ensuring OPWDD eligibility is maintained, and enrolling in the Home and Community Based (HCBS) waiver.
* Identify and access benefits and entitlements (Medicaid, Social Security, SNAP, etc.) when a member is eligible. Ensure existing benefits and other entitlements are maintained.
* Ensure a current and accurate information sharing consent is present within the electronic health record and updated as necessary when changes occur or are requested by the member and/or representative.
* Coordinates and provides access to high quality healthcare services, inclusive of medical, behavioral health, specialized services. Provides regular communication, monitoring, and action oriented follow up on critical and acute healthcare needs.
* Identifies, coordinates, and provides access to preventative and health promotion services as needed.
* Coordinates transitional care inclusive of appropriate follow up from inpatient to other settings, discharge planning, facilitating transfers within the healthcare system, residential settings and aging out of childhood services to adult services.
* Use health information technology in the delivery of care management services, included but not limited to the use of the electronic health records and programs to facilitate telehealth services for members. Maintain a thorough and accurate electronic health record for all assigned members.
* Travel throughout the designated service area to meet with members as needed in alignment with regulatory standards and to ensure identified needs are met. Travel is required to meet with providers, members of the interdisciplinary team, and accompany members where indicated to necessary appointments.
Qualifications
* A Bachelor of Arts or Science degree with two years of relevant experience, or a license as a Registered Nurse with two years of relevant experience, or a master’s degree with one year of relevant experience.
* Bilingual in Mandarin or Cantonese required.
* Absolute sense of integrity and personal commitment to serving people with I/DD and their families.
* Excellent interpersonal, public speaking, and written communication skills.
* Ability to work autonomously.
* Demonstrate professionalism, respect, and ability to work in a team environment.
* Must speak Spanish and/or Mandarin for this position
Job Type: Full-time
Pay: $29.00 - $31.00 per hour
Expected hours: 40 per week
Benefits:
* 401(k)
* Dental insurance
* Health insurance
* Paid time off
* Vision insurance
Schedule:
* Day shift
Application Question(s):
* Have you served in the U.S. Military or are you a military spouse?
Work Location: In person
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