Comprehensive Case Manager II
5 days ago
Element Care is seeking a highly skilled and experienced Comprehensive Case Manager II to join our team. As a key member of our healthcare team, you will be responsible for providing comprehensive integrated case management for SCO members with complex needs and/or catastrophic illness or injury.
Key Responsibilities- Collaboration and Communication
- Collaborate with members' treating physicians, ancillary providers, and family/caregivers to develop prioritized long/short-range goals.
- Communicate effectively with all stakeholders to ensure seamless care coordination.
- Care Coordination
- Match patients' care needs to available resources, ensuring that members stay at appropriate levels and make adjustments when necessary.
- Responsible for assessing clinical information to develop treatment plans and appropriate outcomes.
- Advocacy and Quality Assurance
- Serve as an advocate for members' healthcare needs, ensuring that their voices are heard and their concerns are addressed.
- Evaluate the quality of necessary medical services and identify opportunities for improvement.
- Leadership and Expertise
- Provide leadership and professional expertise to other Case Managers, ensuring that they have the necessary tools and support to excel in their roles.
- Serve as the Lead Subject Matter Expert on the ESPNS SCO Team, providing guidance and leadership on complex case management.
- Education and Experience
- Registered Nurse currently licensed in the Commonwealth of MA.
- Bachelor's Degree (preferred) in a related Health/Nursing field.
- Minimum of 5 years relevant experience in healthcare and/or case management field.
- Skills and Qualifications
- Experience working on the community level and with community agencies preferred.
- Eligible for Case Management Certification.
- Proficient in the use of MS Office tools.
- Experience working with case management data systems.
Element Care is an Equal Opportunity Employer, committed to valuing diversity and contributing to an inclusive working environment. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.
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