Vaya Health

Manager

• The Care Manager is responsible for providing proactive intervention and coordination of care to eligible Vaya Health members and recipients to ensure that these individuals receive appropriate assessment and services.
• The Care Manager works with the member and care team to alleviate inappropriate levels of care or care gaps through assessment, multidisciplinary team care planning, linkage and/or coordination of services needed by the member.
• Care Managers support and may provide transition planning assistance to state, and community hospitals and residential facilities and track individuals discharged from facility settings to ensure they follow up with aftercare services.
• This is a mobile position with work done in a variety of locations, including members’ home communities.
• Ensures identification, assessment, and appropriate person-centered care planning for members.
• Links members with appropriate and necessary formal/ informal services and supports across all health domains.
• Meets with members to conduct the HRA and gather information on their overall health, including behavioral health, developmental, medical, and social needs.
• Supports the care team in development of a person-centered care plan to help define what is important to members for their health and prioritize goals that help them live the life they want in the community of their choice.

Care Manager, QP

• Providing proactive intervention and coordination of care to eligible Vaya Health members.
• Works with the member and care team to identify and alleviate inappropriate levels of care.
• Supports and may provide clinical transition planning assistance to state and community hospitals and residential facilities.
• Conducting comprehensive bio-psycho-social assessments addressing health-related resource needs.
• Participation in interdisciplinary care team meetings, and ongoing care management.
• Managing Child/Adult High-Risk Team meetings in collaboration with community stakeholders.

Care Manager – LP

• Providing proactive intervention and coordination of care to eligible Vaya Health members
• Identify and alleviate inappropriate levels of care or care gaps
• Ensure appropriate assessment and services are delivered to members
• Work with care teams to develop care planning and necessary support

Care Manager

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