About This Role

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes

Responsibilities

• Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome
• Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members
• Provides resource support to members and their families/caregivers for various needs
• Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs
• Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met
• Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• May perform home and/or other site visits to assess member’s needs and collaborate with healthcare providers and partners

Required Qualifications

• 2+ years Field case management experience, ideally with Geriatric long-term care patients
• High volume caseload experience
• Experience with electronic medical records
• Strong computer skills – MS office
• Bachelor’s Degree
• Valid Driver’s License
• Bilingual in Spanish PREFERRED
• Home health
• Must reside in New Port Richey/ Port Richey Area

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