Care Manager

Title : Care Manager

Duration : up to 6 months

Compensation : $34.66-$55.46

Description : The Care Manager of Transitional Care Services (TCS) will facilitate communication and coordination among all participants of the health care team and the member to ensure the services provided promote quality and cost-effective outcomes for members who have recently discharged from the hospital or emergency department (ED).

The incumbent will be responsible for providing intensive case management, which includes assessment, planning, implementation, coordination, monitoring and evaluation of the member's needs.

What You Will Do :

Assesses member needs using a standardized health needs assessment or health risk assessment with member or member's representative.

Performs post-discharge assessment to identify member's post-hospital or post-ED discharge needs including but not limited to :

Member's physical, functional, social and psychological status

Member's cultural and linguistic needs

Caregiver resources and available benefits

Follow-up provider care and ensuring scheduled appointments

Durable medical equipment and supplies

Community resources

Develops and implements a member's specific care plan which includes prioritized SMART goals.

Care plan will be continuously reviewed, modified and updated to reflect the member's needs.

Schedules weekly follow-ups with member or member's representative to assess progress towards goals and identifies barriers to meeting goals.

Provides regular outreach to assigned members along with assigned members from a worklist and evaluates quality of service given to members according to department contact standards.

Coordinates care and services with members, members' family members / representatives and other providers, as appropriate, including Community Supports and LTSS.

Conducts face-to-face meetings at settings outside of client locations such as in hospitals, skilled nursing facilities, long-term acute care hospitals, recuperative care and in member's home settings with members, members' family members / representatives and other providers, as appropriate.

Communicates with member's physicians, specialists, community agencies and vendors to ensure coordination of services.

Facilitates referrals to behavioral health / substance use disorder services and identifies and makes referrals to Long-Term Support Services (LTSS) department, Community Supports and community resources.

Facilitates and participates in Interdisciplinary Care Team meetings, as applicable.

Collaborates with interdepartmental staff in case resolution as needed.

Identifies cases needing manager, director or medical director review or input, routes accordingly and closes cases according to procedures and guidelines in a timely manner.

Prepares and maintains appropriate documentation of patient care and progress within the documentation platform or care plan as appropriate.

Advocates in the member's best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals.

Administrative Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.

Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals / priorities for the department.

Follows client protocol for documenting all case interventions.

Ensures reporting of productivity metrics to supervisor.

Completes other projects and duties as assigned.

You Will Be Successful If :

Develop rapport and establish and maintain effective working relationships with leadership and staff and external contacts at all levels and with diverse backgrounds.

Work independently and exercise sound judgment.

Communicate clearly and concisely, both orally and in writing.

Work a flexible schedule; available to participate in evening and weekend events.

Organize, be analytical, problem-solve and possess project management skills.

Work in a fast-paced environment and in an efficient manner.

Manage multiple projects and identify opportunities for internal and external collaboration.

Motivate and lead multi-program teams and external committees / coalitions.

Utilize computer and appropriate software (e.g., Microsoft Office : Word, Outlook, Excel, PowerPoint) and job specific applications / systems to produce correspondence, charts, spreadsheets, and / or other information applicable to the position assignment.

Ability to visually read information from computer screens, forms and other printed materials and information.

Ability to speak (enunciate) clearly in conversation and general communication.

Hearing ability for verbal communication / conversation / responses via telephone, telephone systems, and face-to-face interactions.

Manual dexterity for typing, writing, standing and reaching, flexibility, body movement for bending, crouching, walking, kneeling and prolonged sitting.

Lifting and moving objects, patients and / or equipment 10 to 25 pounds

What You Will Bring :

Bachelor's degree in social work, psychology, gerontology, public health or social science required.

5 years of clinical experience and / or managed care experience required.

Valid driver's license and vehicle or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office 20% of the time or more.

Licensed Vocational Nurse OR Licensed Marriage and Family Therapist preferred.

Experience with behavioral health or substance use case management preferred.

Certified Case Manager (CCM) certificate preferred.

Bilingual in English and in one of the defined threshold languages (Arabic, Farsi, Chinese, Korean, Spanish, Vietnamese) preferred.

About Impresiv Health :

Impresiv Health is a healthcare consulting partner specializing in clinical & operations management, enterprise project management, professional services, and software consulting services.

We help our clients increase operational efficiency by delivering innovative solutions to solve their most complex business challenges.

Our approach is and has always been simple. First, think and act like the customers who need us, and most importantly, deliver what larger organizations cannot do provide tangible results that add immediate value, at a rate that cannot be beaten.

Your success matters, and we know it.

That's Impresiv!