Case Manager Long-term Care - RN (New Castle County, DE)

Description

JOB SUMMARY

This job serves as the single point of contact for members to coordinate all of the member’s care needs across the various service delivery systems and community supports.

This is a full time community based position requiring frequent travel within the assigned territory in DE. The incumbent will travel to members’ homes, nursing facilities, and other community based setting for individuals enrolled in DSHP Plus LTSS.

ESSENTIAL RESPONSIBILITIES

• Travel to members’ homes, nursing facilities, and other community based settings in order to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols.
• Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in a nursing facility or home and community-based care setting.
• Coordinate care across the continuum of services and assisting members physical, behavioral, long term services and supports (LTSS), social, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs.
• Facilitate authorization, coordination, continuity and appropriateness of care and services in community or HCBS.
• Facilitate transitions to alternate care settings such as hospital to home, nursing facility to community setting using an integrated care team to address the member’s specific needs.
• Educate members or caregivers regarding health care needs, available benefits, resources and services including available options for long term care community or facility-based service delivery.
• Provide education, resources, and assistance to help members achieve goals as outlined in their plan of care and to overcome obstacles to achieving optimal care in the least restrictive environment.
• Develop a plan of care in conjunction with members or caregivers to identify services to meet the member’s specific needs, and goals.
• Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease / Chronic Condition Management, Behavioral Health, and Complex Case Management.
• Collaborate with the member's health care and service delivery team including the DSHP Plus LTSS Member Advocate, ICT, and discharge planners, to coordinate the care needs and community resources for the member in order to maintain the member in the least restrictive safe environment possible.
• Assist members in developing, implementing and amending a back-up plan for gaps in provider coverage.
• Ensure approved support services are being provided as outlined in the plan of care.
• Evaluate the effectiveness of the service plan and making appropriate revisions as needed in accordance with per policy & procedures and state contractual requirements.
• Assist members in overcoming obstacles to optimal care through connection with community resources, including communicating with providers and formulating an appropriate action plan.
• Document all case management services and intervention in the electronic health record.
• Adhere to all company, State and Federal requirements related to privacy practices, HIPAA, and quality performance standards.
• Perform other duties as assigned / requested.

QUALIFICATIONS

Required

• Bachelor's degree in Social Work or in health, human, or education services and 3 years of experience in long-term care, home health, hospice, public health, or assisted living OR
• Master’s degree in Social Work or in health, human, or education services and 1 year of experience in long-term care, home health, hospice, public health, or assisted living OR
• Registered Nurse or Licensed Practical Nurse and 2 years of experience in long-term care, home health, hospice, public health, or assisted living OR
• A high school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, or persons with physical or developmental disabilities, or HIV / AIDS population.

Substitutions

None

Preferred

One year in home clinical or case management experience

Certified Case Manager (CCM)

Licensed Bachelors Social Worker (LBSW)

Licensed Masters Social Worker (LMSW)

Licensed Clinical Social Worker (LCSW)

Experience working with HIV / AIDS population

Experience working with behavioral health population

Experience working with developmental disabilities population

Medicare and Medicaid experience

Managed care experience

SKILLS

• Working flexible hours to meet member’s needs
• Proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook)
• Reliable transportation daily to be able to travel within assigned territory
• Ability to meet regulatory deadlines.
• Has a dedicated home work space used only for business purposes and is able to comply with all telecommuter policies.
• Experience in geriatric special needs, behavioral health, home health
• Understanding of the importance of cultural competency in addressing targeted populations.
• Experience with electronic documentation system(s)
• Experience with cost neutrality and budgeting

Language (Other than English) :

None

Travel Requirement : 25% - 50%

25% - 50%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type

Works From Home

Teaches / trains others regularly

Occasionally

Travel regularly from the office to various work sites or from site-to-site

Occasionally

Works primarily out-of-the office selling products / services (sales employees)

Never

Physical work site required

Lifting : up to 10 pounds

Constantly

Lifting : 10 to 25 pounds

Occasionally

Lifting : 25 to 50 pounds

Rarely

Pay Range Minimum : $57,700.00

$57,700.00

Pay Range Maximum : $106,700.00

$106,700.00

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation / gender identity or any other category protected by applicable federal, state or local law.

Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation / gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities / Women / Protected Veterans / Disabled / Sexual Orientation / Gender Identity ()

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