Care Manager

Position Title: Care Manager

Location: Remote CST but MUST have compact licensure minimum. Prefer to also have MI CA OR licenses in addition to compact.

Schedule: 8:00 am to 5:00 PM EST

Duration: 3 Months

Responsibilities:

• Outreaching member to enroll them in CM program
• Building care plans medication review assessments care plans
• Develops ongoing care plans / service plans and collaborates with providers to identify providers specialists and/or community resources to address members unmet needs
• Identifies problems/barriers to care and provide appropriate care management interventions
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate personcentered care or services
• Provides ongoing follow up and monitoring of member status change in condition and progress towards care plan / service plan goals; collaborate with member caregivers and appropriate providers to revise or update care plan / service plan as necessary to meet the members goals / unmet needs
• Provides resource support to members and care managers for local resources for various services (e.g. employment housing participant direction independent living justice foster care) based on service assessment and plans as appropriate
• Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services
• May perform telephonic digital home and/or other site outreach to assess member needs and collaborate with resources
• Collects documents and maintains all member information and care management activities to ensure compliance with current state federal and thirdparty payer regulator
• Provides and/or facilitates education to members and their families/caregivers on disease processes resolving care gaps healthcare provider instructions care options referrals and healthcare benefits.
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a costeffective manner

Requirement:

• Work remotely in telephonic CM
• BSc Nursing: Registered Nurse
• Case Management that has remote experience
• Home Health Care/Hospice but not their only experience