Care Manager

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🕒 vor 1 Monat

🌲 North Carolina – Remote

🌲 North Carolina – Remote

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🟢 Junior

🟡 Mittelstufe

👔 Manager

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Community Care of North Carolina

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201 - 500 Mitarbeiter

Zu oft ist das Gesundheitssystem eine Quelle der Frustration anstatt ein Weg zur Heilung. Das System kann ineffizient, kostspielig und schwer zu navigieren sein.

Beschreibung

• 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. • 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 collaboration with the members/families. • Develop, review, implement, and evaluate the member care plan in partnership with the member, caregiver/guardian/family members, providers, and Care Management team members, as applicable. • Incorporate therapeutic skills and techniques such as trauma-informed care, motivational interviewing, strengths-based, and solution-focused modalities to help members achieve healing, growth, health, and wellness. • Utilize Hospital/Data or Electronic Medical Record system as available. • Per guidance, facilitate referrals for members/families to appropriate community-based services and agencies. • Refer to appropriate clinical team members for interventions which are outside the Care Managers’ scope of practice and/or expertise. • Work collaboratively with multi-disciplinary team members to facilitate achievement of desired treatment outcomes. • Engage and maintain collaborative relationships with community provider agencies that promote quality care and cost-effective health care utilization. • Serve as a liaison among the member/family/guardian, community services, primary providers, specialists, and other care team members to coordinate services without duplication. • Respect member’s values, experience, and help to empower members to be an advocate for their own care. • Maintain appropriate member documentation in the Care Management documentation platform, in accordance with organizational policies and procedures. • Meet monthly productivity and role expectations. • Understand, uphold, and abide by CCNC company and department policies, goals, standards, and objectives. • Adhere to CCNC privacy, security policies, and HIPAA regulations to ensure that patient and company data are properly safeguarded. • Attend departmental and corporate meetings, local and regional training, or other events as required. • Travel using personal vehicle will be required within the region and/or the State. • Perform all other duties as requested.

🎯 Anforderungen

• Registered Nurse (RN) • Graduation from an accredited school of nursing BSN preferred • Active, unrestricted RN license to practice in North Carolina • Minimum 2 years’ nursing experience; 1-year care management or community-based nursing preferred • CCM certification preferred; will obtain within 1 year of eligibility per CCM requirements • Master’s degree from an accredited school of social work • Minimum 2 years’ social work experience; 1-year case management or community-based social work preferred • Active NC license as a Licensed Clinical Social Worker (LCSW) • Access to Hospital/Data or Electronic Medical Record system will be required, as necessary • Maintain a valid driver’s license with current auto liability insurance • Computer skills required including various office software and the internet; experience with MS Office software preferred • Excellent communication skills – oral and written; Bilingual preferred • Knowledge of government, private sector, and community resources • Knowledge of Case Management principles • Knowledge of and compliance with federal and state regulations applicable to the position • Strong organizational and time management skills • Skills in establishing rapport with a member and applying techniques of assessing comprehensive health care needs • Critical thinking skills, effective clinical judgment, independent decision-making, and problem-solving abilities • Sensitivity to diversity of cultures, language barriers, health literacy, and educational levels • Ability to work independently and function as an integral part of a multi-disciplinary team • Responds to change with a positive attitude and a willingness to learn new ways to accomplish work activities and objectives. • Able to shift strategy or approach in response to the demands of a situation.

🏖️ Vorteile

• Competitive Benefits Package effective first day of employment • Opportunities for growth, training, and bonus incentives*