Comprehensive Care Manager

3 weeks ago

Nashville, Tennessee, United States Health Connect America Full time
About the Role

We are seeking a highly skilled and compassionate Integrated Care Coordinator to join our team at Health Connect America. As a key member of our care management team, you will play a vital role in delivering comprehensive, person-centered care to individuals and families in need.

Key Responsibilities
  • Assessment and Coordination: Actively engage with individuals through assessment, coordination, health promotion, and transitional care, documenting assessments and coordinating with the care team and treatment teams.
  • Care Management: Provide comprehensive care management, coordination, health promotion, individual and family supports, and referrals to community services.
  • Comprehensive Assessments: Complete the Care Management Comprehensive Assessment within designated timeframes and share results with primary care providers and relevant agencies.
  • Medical Record Compliance: Maintain medical record compliance and ensure timely documentation of care coordination activities.
  • HEDIS Gaps and Enrollment: Monitor HEDIS gaps and verify client payer and program enrollment status monthly.
  • Individualized Care Plans: Develop individualized, person-centered care plans incorporating assessment results and Division guidelines, focusing on unmet health needs and Social Determinants of Health (SDOH).
  • Follow-up Services: Coordinate follow-up services for recent hospitalizations or life transitions, ensuring smooth transitions of care.
  • Crisis Response: Identify and provide crisis response as necessary, participate in post-crisis debriefing, and be available for on-call support.
  • Communication and Collaboration: Communicate effectively with individuals, providers, and natural supports, providing education on services.
  • Resource Linkage: Establish collaborative relationships with care team members and community resources to improve resource linkage and documenting follow-up.
  • Transitions and Discharge Planning: Support transitions between care settings and develop comprehensive discharge or transition plans.
  • Team Collaboration: Attend Treatment Team and supervision meetings, integrated care team meetings, and serve as a liaison with other professionals and agencies.
  • Marketing and Outreach: Assist with marketing new client referrals and provide on-call support as needed.
  • Compliance and Training: Review data for service appropriateness and compliance issues, attend training sessions, and comply with agency policies and procedures.
  • Regulatory Compliance: Ensure compliance with all state regulatory requirements.
Requirements
  • Education: Bachelors Degree in any discipline required, Bachelors Degree in human services related discipline preferred.
  • Experience: Experience working with children and families in case management type/community resource position.
What We Offer
  • Self-Care and Work-Life Balance: We recognize the importance of self-care and work/life balance.
  • Flexible Scheduling: We offer flexibility in scheduling.
  • Employee Assistance Program: We provide all employees access to our Employee Assistance Program (EAP), which includes 8 mental health counseling sessions annually.
  • Comprehensive Benefits Package: Full-time HCA employees enjoy paid time off, paid holidays, and a comprehensive benefits package that includes medical, dental, vision, and other voluntary insurance products.
  • Additional Benefits: Access to a Health Navigator, Health Savings Account with company contribution, Dependent Daycare Flexible Spending Account, Health Reimbursement Account, 401(k) Retirement Plan, Benefits Hub, and Tickets at Work.

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