Care Manager

Job Description

Partners with members, their family and / or caregivers and providers so that they can self-manage their care, optimize their functional health status, have quality outcomes and use the health system appropriately.

Develop, document and implement plans, which will provide the appropriate resources to address social, physical, mental, emotional, spiritual, and supportive needs.

Job Specifics

• Pay Range Clinical Social Worker : $$ Non Exempt
• Pay Range RN : $ - $ Non Exempt
• Benefits Eligible : Yes
• FTE : Part time
• Shift : 24 hrs per week. Normal business hours are M-F 8-6.
• To learn about additional Intermountain benefits : Click here
• MUST HAVE CURRENT RN OR LCSW, with pediatric Behavioral Health experience and / or broad experience with both pediatric and adults.

Job Essentials

• Identifies members who are unable to adhere to a medical plan without additional assistance and enrolls members who are willing to engage in care management services by reviewing referrals, records and conducting appropriate assessments.
• Follows the applicable established model of care or care management program policies and procedures to assess, establish and maintain a plan of care which incorporates the member's individualized needs and goals within the benefit plan throughout the care management process.

Ensures the plan is evidence based and consistent with goals and objectives of referral, payer contract, or established care processes.

• Maintains records by reviewing case notes; logging events and progress according to applicable regulatory requirements such as NCQA, CMS and State EQRO standards.
• Coordinates and facilitates communication among the member / family / representative, members of the healthcare team, and other relevant parties ( other payers, Sales Team, Employer Groups, etc.

through interdisciplinary team meetings or other coordinated communication.

Contacts patient at prescribed intervals and as necessary to determine if the goals are being achieved or if they continue to be appropriate and / or realistic.

Determines variances and refers patient to more comprehensive level of care if indicated.

Minimum Qualifications

• RNs hired or promoted into this role need to have or obtain their BSN within three years of hire or promotion.
• Current RN license in state of practice.
• Three years of clinical nursing experience.
• Strong written, and verbal communication and conflict resolution skills
• Intermediate computer software skills in word processing and spreadsheet programs
• Master's Degree in Social Work. Education must be obtained from an accredited institution. Degree will be verified.
• Current State Licensure as a Licensed Clinical Social Worker (LCSW).
• Basic computer skills and knowledge of word processing and spreadsheet software.
• Strong written and verbal communication skills.
• Demonstrated ability to exercise critical thinking skills.

Preferred Qualifications

• Bachelor's degree in Nursing (BSN) from an accredited institution (degree will be verified).
• Case Management Certification.
• Current driver's license in the state caregiver resides
• Willing to travel to member's homes, hospital, clinic or community setting to conduct assessments.
• Experience working with third party payers.
• Clinical nursing experience in ambulatory settings, community health or home care.
• Ability to work independently and be flexible in a rapidly changing environment.
• Written and verbal communication skills.
• Ability to work independently, be self-motivated, have a positive attitude, and be flexible in a rapidly changing environment.

Physical Requirements :

• Interact with others requiring the employee to communicate information.
• Operate computers and other office equipment requiring the ability to move fingers and hands.
• See and read computer monitors and documents.
• Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
• Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.

Location :

SelectHealth - Murray

Work City : Murray

Murray

Work State : Utah

Utah

Scheduled Weekly Hours :

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$ - $

We care about your well-being mind, body, and spirit which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers;

and our commitment todiversity, equity, and inclusion.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

All positions subject to close without notice.