Position: Care Manager

Reports to: Care Manager Supervisor

Summary: Through Tailored Care Management, Behavioral Health I/DD Tailored Plan beneficiaries will have a designated care manager supported by a multidisciplinary care team to provide whole-person care management that addresses all their needs, spanning physical health, behavioral health, I/DD, traumatic brain injury (TBI), pharmacy, long-term services and supports (LTSS) and unmet health-related resource needs.

Qualifications: A Bachelor’s degree in a field related to health, psychology, sociology, social work, nursing or another relevant human services area, or licensure as a registered nurse (RN) and 2-years of experience working directly with individuals with behavioral health conditions/I/DD or a TBI condition(s)

For Care managers serving members with LTSS needs: 2-years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience, in addition to the requirements cited above.

Job Roles, Duties and Responsibilities

• Complete comprehensive assessments at enrollment, yearly or at changes in condition.
• Develop Plans of Care derived from the completed assessments
• Assign interventions/plans of care to the Care Worker for monitoring and service engagement activities.
• Travel to various community locations, other agencies, and other outreach destinations as necessary to meet the members’ needs.
• Assist individuals/legally responsible persons (LRP in choosing service providers, ensuring objectivity in the process.
• Meet at least minimum standards of 2 monthly contacts and demonstrate ability to effectively engage with members (depends on the client needs)
• Participate in agency’s twenty-four (24) hour coverage around care management providing for coverage for services, consultation or referral
• Utilize ADT information to respond within hours/minutes as appropriate to support members who are admitted, transferred, or discharged from a facility in a timely manner
• Actively collaborate with care team, members supported, and service providers to ensure development of a plan that accurately reflects the individual’s needs and desired life goals
• Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues.
• Verify ongoing service adherence with member and/or guardian
• Ensure clinical documentation (e.g., goals, plans, progress notes, etc.) meets state, agency documentation standards, and Medicaid requirements.

And more.

Job Type: Full-time

Pay: $40,000.00 - $45,000.00 per year

Benefits:

• Flexible schedule
• Professional development assistance

Education:

• Bachelor's (Required)

Experience:

• Care Management: 2 years (Required)

License/Certification:

• Driver's License (Required)

Work Location: On the road