WVU Medicine

Manager

• Providing coordination of care to SNP members, including establishing and maintaining a care plan.
• Coordinating care with ICT members and coordinating care during transitions of care.
• Acting as a liaison for the Interdisciplinary Care Team (ICT) in conjunction with the PCP and beneficiary/caregiver.
• Collaborating with other CM team members to support the beneficiary through TOC events.
• Managing and triaging member self-referrals to care management programs.
• Assisting in ensuring compliance with CMS SNP Model of Care (MOC) expectations, NCQA standards, and Medicare Advantage regulatory requirements.

Care Manager – SNP

General

• Act in coordination of the SNP Clinical team to provide ongoing coordination of care to members
• Assist in ensuring compliance with CMS SNP Model of Care (MOC) expectations
• Support members in guiding through Health Risk Assessment completion
• Conduct timely follow-ups with members and/or their designated caregivers
• Educate members on DSNP supplemental benefits and assist with access
• Facilitate scheduling of PCP visits and preventive screenings
• Document accurately to ensure coordination of members’ care needs

SNP Engagement Specialist

Social Worker

• Coordinate benefits with MA and Medicaid
• Connect members to community resources
• Participate in activities related to care management program
• Ensure compliance with CMS SNP Model of Care expectations
• Perform psychological, social and economic care management interventions
• Assist in the development of individualized care plans
• Document in the members’ case accurately and timely
• Collaborate with the interdisciplinary care team
• Maintain knowledge of community agencies and resources

SNP Social Worker – Peak

• Coordinate the day-to-day operations of the department phlebotomy and/or specimen processing staff in support of the hospital's mission of patient care.
• Schedule staff to ensure proper daily coverage.
• Provide training and orientation of assigned staff.
• Perform laboratory processing at current licensed level.
• Make recommendations of positive changes for the department policies, procedures, and practices.
• Assist with recruiting, interviewing, and hiring personnel and provide timely orientation of new staff.

Laboratory Coordinator

Pharmacist

• Provide pharmacist care by collaborating with multidisciplinary healthcare teams
• Promote guidelines and policies to improve care for patients
• Ensure patient compliance and minimize risk associated with high risk medications
• Collect data and submit as required by various pay-for-performance initiatives

Pharmacy Quality Specialist

Human Resources

• Responsible for maintaining positive and effective employee/labor relations practices and support with assigned departments and effectively implement and oversee HR policies and procedures.
• Develops, coordinates, and maintains policies, programs and training regarding all Human Resources functions with an emphasis in the area of employee/labor relations.
• Assists and advises hospital and management staff on employee and labor relations issues.
• Develops and recommends employee relations practices necessary to maintain positive employer/employee working relationships and promote positive employee morale.
• Investigates employee issues/problems utilizing sound judgment consistent with organization policies.

Employee & Labor Relations Consultant

• Perform various duties related to patient care and treatment as directed by attending providers
• Provide clerical and clinical support to medical staff in assigned unit
• Provide support to medical staff to assure patients' needs are met
• Assist providers in completing requisitions or forms for patient examination or testing
• Administer prescribed medication under supervision of attending provider
• Perform qualitative and quantitative tests and examinations of specimens
• Obtain and document patients’ specimens as ordered
• Schedule additional ancillary testing as needed
• May assist Registration Specialist with deposit of money and late night coverage

Ambulatory Care Assistant – MA

• Responsible for maintaining positive and effective employee/labor relations practices and support with assigned departments and effectively implement and oversee HR policies and procedures.
• Develops, coordinates, and maintains policies, programs and training regarding all Human Resources functions with an emphasis in the area of employee/labor relations.
• Assists and advises hospital and management staff on employee and labor relations issues.
• Develops and recommends employee relations practices necessary to maintain positive employer/employee working relationships and promote positive employee morale.
• Assists in the preparation and review of arbitrations and other legal inquiries.
• Investigates employee issues/problems utilizing sound judgment consistent with organization policies.
• Advises and assists management staff in counseling, disciplining or terminating employees as a result of performance, behavior, and attendance actions.
• Assists management with grievance procedure.