Care Manager
CareSource
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteSalary
💰 $62,700 - $100,400 per year
Job Level
Mid-LevelSenior
About the role
- Collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual
- Facilitate communication, coordinates care and service of the member through assessments, identification, person-centered planning
- Assist the member in creation and evaluation of person-centered care plans
- Engage the member and their natural support system through strength-based assessments using a trauma-informed care approach
- Develop and regularly update a person-centered individualized care plan (ICP) in collaboration with the ICT
- Monitor and promote effective utilization of healthcare resources through clinical variance and benefits management
- Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies
Requirements
- Nursing degree from an accredited nursing program or Bachelor’s degree in a health care field or equivalent years of relevant work experience
- A minimum of three (3) years of experience in nursing or social work or counseling or health care profession (i.e. discharge planning, case management, care coordination, and/or home/community health management experience) is required
- Three (3) years Medicaid and/or Medicare managed care experience is preferred
- Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Professional Clinical Counselor is required.
- Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
- Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
- Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
Benefits
- Comprehensive total rewards package
- Bonuses tied to company and individual performance
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
nursingsocial workcounselingdischarge planningcase managementcare coordinationhome health managementquality managementHEDISmedication reconciliation
Soft skills
communicationcollaborationperson-centered planningtrauma-informed carestrength-based assessmentscare coordinationevaluationmonitoringdocumentationresource utilization
Certifications
Registered NurseSocial WorkerProfessional Clinical Counselor