Arkos Health

Manager

• Schedule and complete face to face visits with patients/families/caregivers
• Complete assessment for social service needs to address barriers to health care
• Assist and provide resources, information, and referrals to support the care plans
• Participate in interdisciplinary team (ICT) meeting to establish, review, and revise the patient care plan
• Maintain electronic medical records
• Support patient, family, and caregivers with cultural and spiritual sensitivity
• Provide holistic, family-centered care across treatment settings to improve the quality of life
• Provide supervision and guidance to the member support specialist team
• This person will travel to patients home in the valley up to 80% of the time

Social Services Case Manager

• Schedule and complete face to face visits with patients/families/caregivers
• Complete assessment for social service needs to address barriers to health care
• Assist and provide resources, information, and referrals to support the care plans
• Participate in interdisciplinary team (ICT) meeting to establish, review, and revise the patient care plan
• Maintain electronic medical records
• Support patient, family, and caregivers with cultural and spiritual sensitivity
• Provide holistic, family-centered care across treatment settings to improve the quality of life
• Provide supervision and guidance to the member support specialist team

• Work directly as a member of the Arkos Health Interdisciplinary Team
• Implement and participate in the patient’s plan of care; update and revise as needed
• Assist in coordination of comprehensive care; including obtaining referrals to other interdisciplinary services (Home Health, Palliative Care, Social Services) to help prevent further need for acute care utilization
• Maintain case load based on the needs of the client and/or contractual obligation
• Conduct face to face visits at a minimum of every 2 weeks for assigned patients enrolled in Intensive Case Management. May conduct increased face to face or telephonic visits based on the needs of the patient and or contractual obligation
• Complete Clinical and Social Assessments (CSA) to develop care plan upon initial start of care visit with patient
• Provide communication with patient’s providers and medical specialists regarding patient status and any changes in condition
• Engage with Arkos Health leadership and contracted providers to resolve changes in patient status, complaints, or complications though participation in weekly ICT meetings
• Complete medical reconciliation for all transitional care patients within 30 days of initiation of TCM contact

Arkos Health

Social Services Case Manager

Social Services Case Manager

Social Services Case Manager

Social Services Case Manager

Social Services Case Manager

RN Care Manager

RN Care Manager

RN Care Manager

RN Care Manager

RN Care Manager