Manager

• Provide support and social services to health plan members and their families in accordance with an appropriate plan of care
• Provide in-home and telephonic assessment of needs
• Develop, monitor, and evaluate care plans and progress
• Facilitate interdisciplinary approaches to social needs
• 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

Social Services Case Manager

Quality Manager – STARS, HEDIS