Clinical Care Manager providing monitoring, follow-up, and clinical care management for dually-eligible enrollees. Leading interdisciplinary teams and engaging with members in community settings.
Responsibilities
Provide monitoring, follow-up, and clinical care management to dually-eligible enrollees
Engage with enrollees in their homes and community settings
Function as a liaison between healthcare providers, community resources, and enrollees
Perform required assessments on a timely basis
Lead the interdisciplinary care team to create holistic care plans
Oversee enrollee utilization of long-term services and supports
Assist members in accessing community resources
Educate members about benefits and available services
Promote healthy lifestyle choices and self-management strategies
Follow up with members after hospitalizations to ensure continuity of care
Advocate for the needs and preferences of enrollees
Requirements
Associates of Science (A.S) degree in nursing or Master's degree in social work or mental health counseling and independent license required
Three (3) years of experience as a Registered Nurse/BH Clinician or One (1) year as a Registered Nurse/BH Clinician with two (2) years of experience working with complex medical, behavioral, and social needs
Intermediate proficiency level with Microsoft Office, including Outlook, Word, and Excel
Understanding of Medicare and Medicaid programs
Strong interpersonal and communication skills
Must have valid driver's license, vehicle, and verifiable insurance
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