Manager

• Complete comprehensive assessments or Care Needs Screening at enrollment, yearly or at changes in condition.
• Develop Plans of Care derived from the completed assessments
• Demonstrate commitment to whole person/integrated care
• Assign interventions/plans of care to applicable Alliance Care Management team member to meet identified member needs, for monitoring, and/or service engagement activities
• Submit referrals to the Transition Coordinator when a physical health or behavioral health need indicates medical and/or pharmaceutical complexity
• Schedule initial contact with member for purpose of assessment and engagement
• Verify accuracy of demographic information with member.
• Schedule face-to-face, virtual, and telephonic meeting with member/guardian to provide education about Alliance Health Plan, care teams, resources, and services
• Provide education and support, to individuals and LRP, in learning about and exercising rights, explanation of the grievance and appeals process, available service options, providers available to meet their needs, and payer requirements that may impact service connection and maintenance
• Coordinate with other team members to ensure smooth transition to appropriate level of care when needed

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