Care Manager

About the role

The Care Manager is ultimately responsible for the overall provision and coordination of services to assigned caseload. The Care Manager guides program enrollees and their caretakers (legal guardians) through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes.

Responsibilities

• Obtains required Care Management enrollment consents from the individual or legal guardian
• Completes initial and ongoing needs assessments (Child and Adolescent Needs and Strengths; CANS) to determine the individual’s most appropriate level of care management.
• Responsible for the overall management of the patient’s Individualized Plan of Care.
• Develop a patient centered Individual Plan of Care and complete assessments.
• Support adherence to treatment recommendations
• Monitor and evaluate a patient’s needs, including prevention, wellness, medical, mental health, care transitions, and social and community services where appropriate.
• Maintains regular client contact (consistent with caseload acuity)
• Meets Care Management documentation requirements in a timely and accurate manner by effectively utilizing designated Care Management Portal (Medicaid Analytics Performance Portal; MAPP) and Electronic Health Records as needed.
• Functions as an advocate for clients within the agency and with external service providers
• Promotes wellness and prevention by linking enrollees with resources and services based on their individual needs and preferences
• Educate the child/caregiver on care of chronic conditions, immunization, screening and other preventive interventions.
• Help clients obtain and maintain public benefits necessary to gain health care services, including Medicaid and cash assistance eligibility, Social Security, SNAP, housing, legal services, employment and training supports, and others.
• Effectively communicates and shares information with the individual and their families and other caregivers with appropriate consideration for language, literacy and cultural preferences.
• Conducts care planning meetings/conferences and serves as an interdisciplinary team member to effectively provide/coordinate comprehensive and holistic care
• Identifies available community-based resources and actively manages appropriate referrals, access, engagement, follow-up and coordination of services
• In the event of hospital admissions, actively engages in the discharge planning process ensuring that the patient has all recommended post discharge services in place prior to discharge
• Attends and participates in ongoing staff development trainings to enhance skills needed to effectively meet the demands of the Care Manager position
• Ensures that child has periodic evaluations and follow up treatment for dental, vision and hearing care, following Medicaid EPSDT guidelines

Benefits/Perks

• A comprehensive health insurance package including medical, dental and vision plans for you and your family
• 403B retirement benefits
• Employer-paid life insurance and long-term disability insurance
• Generous paid time off (vacation, personal, sick, 12 paid holidays)
• Free employee assistance program through National EAP
• Insurance discounts for our staff and their families
• Trainings to support professional and personal development
• Employee wellness program
• Employee recognition activities

Pay

$50,000 - $56,000 per year (Depending on Credentials)

Schedule

Full Time / Hybrid