If you thrive on delivering personalized care and interacting with members as a whole person, then this is the role for you! As a Care Manager, you will be responsible for proactively engaging with high-risk members, particularly those with behavioral health challenges, and supporting the members’ whole-person health. As a core part of the Care Management team, you will assess, evaluate, and coordinate member's physical, behavioral, and support needs, to identify and help resolve any barriers that hinder effective care. The Care Manager is responsible for proactively engaging with high-risk members, and coordinating and supporting the members’ whole-person health. This includes, but is not limited to, the assessment and development/updating of member Individualized Service Plans, managing medications, and providing the self-management tools beyond the counseling and guidance typically provided during visits with their providers. As a core component of the Care Management team, the Care Manager facilitates communication between different providers in the advocacy of members, often being in contact with multiple doctors, nurses, and specialists to best coordinate the directives of each provider into a seamless plan for the member. Monitor members (in person and by telephone) for changes in clinical symptoms and treatment side effects or complications; Evaluate findings and assist members/families in developing an Individualized Service Plan (ISP) with appropriate goals; Support and closely coordinate whole-person health care with the member’s primary care provider and other treating health providers. Provide or facilitate resources internally or in the community for members/families, and make referrals and provide follow-up as appropriate (e.g., social services such as housing assistance, vocational rehabilitation, substance use treatment); Ensure all treating providers involved in the member’s care are up to date on the latest test results and information.
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Job Type
Full-time
Career Level
Mid Level
Number of Employees
501-1,000 employees