Case Management Care Manager

About the role

Work in conjunction with diverse clinical teams and utilize community resources to meet the needs of individuals receiving care management services. Provide services in accordance with care management service requirements set by the state and company.

Responsibilities

• Develops positive relationships among and between members, family/guardians, Extenders, clinical and care team members and other community stakeholders to create an environment of compassion and professionalism, driving toward positive health and quality of life outcomes.
• Responds proactively to alerts from Extenders concerning unmet health-related needs and identified barriers and gaps to reduce adverse health and quality of life indicators.
• Develops positive relationships with all funding sources that exhibits the willingness to obtain common objectives related to care management.
• Engages the member/family/guardian to establish rapport and provide required and as needed contact, ensuring service provision is up to date and follow through is completed.
• Selects members for the care team (adjusting as needed).
• Conducts the Comprehensive Health Assessment on the member, with stakeholder input, to obtain baseline information needed to formulate a care plan.
• Captures and documents all information gathered/received electronically in a timely manner.
• Maintains an accurate, up-to-date electronic information data stream on all interactions, encounters, activities, care team meetings, and communications with the member/family/guardian.
• Promotes and coordinates comprehensive care among medical, pharmaceutical, psychosocial, social, mental, physical, home health, ancillary providers, and other community agencies, supporting individuals with referrals as needed.
• Connects members with medical, mental, developmental, psychosocial, housing, transportation, home health, and community support services/systems to achieve a comprehensive, holistic, preventive approach.
• Empowers the member/family/guardian and other team members with knowledge that aids in implementing the care plan, treatment plan, medication regimen, and appointment keeping.
• Identifies barriers, gaps, and unmet health-related needs are addresses them proactively, expanding relationships and linkages to aid in meeting member’s needs.
• Supervises up to two FTEs of care management extenders.
• Reports issues of concern, general departmental activities and staffing needs to the Care Management Supervisor.
• Completes all required training and participates in educational sessions to improve overall skills.
• Attends industry meetings, training, and functions to promote positive relationships with stakeholders.
• Participates in quality improvement and measurement activities to achieve identified targets and outcomes.

Requirements

• Two years of experience as a Care Manager, Case Manager, or Care Coordinator preferred.
• A license, provisional license, certificate, registration, or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing who also has four years of full-time accumulated experience with the IDD population; or
• A Master’s degree in a human service field and one year of full-time, post-graduate degree accumulated experience with the IDD population; or
• A bachelor’s degree in a human service field and two years of full-time, post-bachelor's degree accumulated experience with the IDD population; or
• A bachelor’s degree in a field other than human services and four years of full-time, post-bachelor's degree accumulated experience with the IDD population; and
• For care managers serving members with LTSS needs: two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience, in addition to the requirements cited above.

Qualifications

• Must meet all agency requirements for pre-employment and those required by state.

Skills

• Ability to perform work with a high degree of quality and autonomy.

Benefits

Sevita is a leading provider of home and community-based specialized health care. We believe that everyone deserves to live a full, more independent life. We provide people with quality services and individualized supports that lead to growth and independence, regardless of the physical, intellectual, or behavioral challenges they face. We’ve made this our mission for more than 50 years. And today, our 40,000 team members continue to innovate and enhance care for the 50,000 individuals we serve all over the U.S.

Pay

N/A

Schedule

N/A