In field Case Manager
3 weeks ago
They will manage their own schedule- (Roughly 8-5pm) Needs to go back to in person meetings (home visits, doc appoints, public place)
Population: Ages 0-26 Children with special health needs Medicaid patients that have their diagnosis, also socio-economic issues as well Case loads of a max of 75 Working with enrollees and families/caretakers to break down any barriers that could come in between them & their treatment plan Care Managers will start off each patient with needs assessment - identify where they are at, assign them acuity level between 1-3
1 = fairly well managed, don’t need to use a lot of medicaid $
3 = not well managed, high utilizers - will need more touch-points per month Developing care plan, work with enrollee/caregiver Work towards goals alongside of them Issues they could be attending to could be something as simple as, no transportation, could go as extreme as to domestic violence or homelessness
Metrics regarding acuity:
1= Meet with 1 time a year, call every other month
2= Meet with 2 times a year, call once a month
3= Meet with 3 times a year, call twice a month
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