Care Manager developing comprehensive, person-centered care plans at Pure Healthcare. Facilitating access to medical and social services for patients and their families in Ohio.
Responsibilities
The Pure Healthcare Care Manager will develop comprehensive person-centered care plans for every member.
Assisting individuals and their families with personal or environmental needs through care coordination, navigating care systems, planning for care transitions, or discharge to next level of care.
Ensuring and facilitating access to community resources, such as transportation, insurance/supplemental income sources, caregiving, food, etc.
Facilitating individual and family meetings for goal setting, advance care planning, coordination of community supports, and plan of care development based on the individual's needs, values, and preferences.
Collaborating with other PHC and Ohio’s Hospice divisions to improve communication of needs.
Coordinating a plan of care between settings (home, hospital/inpatient, outpatient services) to ensure continuity of care.
Documenting assessment, plan, and interactions with individual, family, community resources, hospital or facility staff, and physicians and establishing/building accounts in electronic medical records.
Participating in the development of processes to improve the clinical experience for referral sources, individuals/families, care management teams across the continuum of care.
Regularly attending IDT meetings or multidisciplinary team meetings based on needs or organizational needs.
Fostering collaborative working relationships within division, organization, hospitals, and community facilities and/or with engaged groups.
Attending division meetings 80%; accountability for 100% of information provided via minutes.
Completing annual education by the deadline to ensure staff has the information and tools to complete their job satisfactorily and meet regulatory compliance.
Adhering to all applicable federal and state regulations, including HIPAA, compliance, and employment regulations.
Maintaining strong knowledge of and adherence to NCQA standards for Complex Care Management.
Requirements
Active Registered Nurse license in the State of Ohio without any board actions.
Three to Five years clinical experience in Case Management, Care Coordination, Discharge Planning, Medicaid and/or Medicare managed care, LTC experience and/or community health.
Mental Health Experience is a plus.
CM certification preferred.
Notary designation or intention to complete within six months of hire.
CPR Certified preferred, required in orientation at hire.
Computer skills sufficient to properly document services and care.
Ability to drive during daytime, nighttime, or inclement weather.
This position requires travel to different work locations and within the counties we serve.
Valid Driver's License with Safe Driving Record with successful clearance of a driving record check.
Successful clearance of a criminal background check.
Must be able to pass a 10 panel drug screen.
State minimum automobile insurance coverage.
Benefits
Competitive Pay
Competitive Health, Dental, and Vision Insurance
Short- & Long-Term Disability
Life Insurance
Paid Time Off
401k with 5% employer match
Tuition Reimbursement
Preparation for certification and pay incentive on Hospice certification achievement
Scrubs provided at initial onboarding
Mileage reimbursement
Organizational preceptor to assist with orientation and ongoing education
Educational programs geared toward career advancement
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