Responsible for regular Communications with the members (minimum of one visit per year, quarterly phone calls and as needed. In conjunction with the program manager, responsible for networking activities within the market area designed to enhance community awareness of the Carlyle at Home program. In conjunction with the program manager, develops a network of sub-contracted service providers. Interviews, selects and negotiates contracts with all service providers, including home care agencies, transportation providers, etc. necessary to ensure exceptional delivery of services. Obtains and reviews required documents from prospective service providers to ensure they meet Carlyle at Home standards. Develops a network of vendor partners for referrals for non-covered services. Maintains the network and manages the referral process. Schedules and conducts pre-admissions assessments of prospective members. Reviews and organizes medical records to present to membership committee. Serves on the Membership Committee. Conducts new member meetings. Ensures that new members are welcomed into the program quickly and efficiently. Conducts annual and as needed assessments of members to determine the need for services. Visits members in the hospital, in rehab centers or at home to determine the need for services and to provide reassurance. Manages the successful placement of appropriate services to address members’ needs. Communicates with members regarding what Carlyle at Home will pay for (what is “covered”), and members’ financial responsibilities Follows up with members to determine their satisfaction with services. In conjunction with the program director, manages any quality monitoring initiatives. Serves on the Quality Monitoring Committee. Participate in regular information seminars, including conducting presentations to small groups of prospective Members.
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
5,001-10,000 employees