Position Overview
Under the direction of the Assessment Nurse Team Lead, and in collaboration with the member’s Care Manager, this role will conduct an in-person home visit for MLTC and MAP members at a 6-month interval from the member’s UAS.
The home visit includes a brief health assessment on medical and behavioral health topics as well as a quick environmental scan of the member’s home.
The information gathered during this visit will then be incorporated into the member’s subsequent person-centered service plan (PCSP).
This home visit is a regulatory requirement for both MLTC and MAP and ensures that the member’s PCSP is completely aligned with their current needs, validated with the gathering of face-to-face data.
Job Description
- Conducts home visits to all members assigned and ensures compliance with HIPAA verification
- Schedules own home visits, optimizing efficiency
- Utilizes the home visit assessment tool when speaking with the member
- In the event that a member is unwilling to have someone visit them in the home, conducts telehealth home visit using the same tool
- Escalates clinical and social issues to the members’ designated Care Manager
- Accurately and timely documents member call interaction in the care management system Disease Care Management System (DCMS)
- Provides printed educational materials as appropriate
- Fulfills basic care coordination tasks for the member such as appointments, transportation, medication issues such as needing prescription or refill, DME, etc.
- Conducts other supportive activities as assigned
Minimum Qualifications
- Bachelor’s degree from an accredited college or university in a healthcare related field is required
- Minimum of 2 years of work experience in care management / coordination, health education, health home or community-based organization required.
Managed Care experience preferred
Professional Competencies
- Integrity and Trust
- Customer Focus
- Functional / Technical skills, knowledge of Excel, ability to navigate multiple systems
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