Complex Care Manager
5 days ago
This role is a member of the integrated community care team (ICCT), providing integrated case management for members with complex medical, behavioral, and social determinants of health needs.
Key Responsibilities- Meet with community primary care providers on a regular basis and review assigned member care plans and ongoing health needs.
- Attend member visits at their primary care provider or specialist office appointments and provide follow-up support for care coordination needs.
- Complete comprehensive assessments and person-centered care plans (PCCPs) for each member on the assigned caseload.
- Manage person-centered care plans and member contact in compliance with all agency requirements, internal protocols, and accreditation standards.
- Develop, implement, and maintain person-centered care plans using SMART goals.
- Provide education with teach-back regarding medical, behavioral, and functional health conditions, symptoms, and treatment options.
- Provide evidence-based clinical interventions centered on established person-centered care plan goals using a variety of approaches.
- Meet established Key Performance Indicators.
- Manage assigned caseload based on contact frequency requirements and utilization data.
- Proactively mitigate/resolve barriers to care to increase adherence to treatment plan.
- Collaborate with the ICT to update the team on member progress and needs and provide CCM recommendations for members to stabilize health and overcome barriers to social determinants of health.
- Assist members in accessing and engaging with services and resources.
- Licensed clinician (RN, LCSW, LMSW, LMHC, LPC) by the state in which practicing and abide by all laws, regulations, and requirements.
- Preference given to qualified case managers with CCM credentials.
- 3+ years of experience in serving the needs of complex populations, including medically complex, trauma history, mental health conditions, substance abuse, and socioeconomic barriers in an office or community-based setting.
- Experience with complex government-sponsored populations preferred, e.g., Medicaid, Medicare beneficiaries.
- Excellent computer skills including Microsoft Office Suite (Outlook, Excel, PowerPoint, Word) and electronic medical record documentation required.
- Excellent written and oral communication skills to interact with members, families, community stakeholders, and interdisciplinary team required.
AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.
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