Care Manager
About the role
Address the needs of the population served by assessing, planning, implementing, coordinating, monitoring, and evaluating the options and services required by using communication and available resources to promote quality, cost-effective health outcomes. Performing within the Registered Nurse and/or Licensed Clinical Social Work scope of practice, collaborate with the Primary Care Provider, member, guardian, caregivers, family members, other members of the Care Management Team, and the community to coordinate a full continuum of health care services. Holistic needs of the member, inclusive of unique social and cultural dynamics should be considered. The Care Manager may work remotely within regions to cover the needs across the state. Care Manager(s) will serve the population within regions 2, 4, and 6. Remote and travel will be required within the region and/or the State. Preferred to reside in the following Counties: Guilford, Alamance, and Randolph.
Responsibilities
- Provide effective Care Management services based on case management standards of practice to enrolled populations.
- Complete member assessments considering the total individual, inclusive of medical, biopsychosocial, behavioral, spiritual, and cultural needs to enrolled population, throughout the continuum of care.
- Work with members to identify and address behavioral, social, cultural, and environmental strengths and barriers as it relates to his/her diagnosis, treatment, and access to care.
- Provide education to member/family about clinical diagnosis, medications, available resources, prevention, and risk factors to achieve optimal self-management.
- Monitor quality and effectiveness of interventions to the enrolled populations by setting patient-centered SMART goals in