Care Manager for Care Management Services
About The Position
NextStep Care is a non-profit, mission-driven organization dedicated to providing the highest level of care in its communities. The company values, recognizes, and rewards its employees, surrounding them with a strong team and supportive leadership. As part of CHSGa, the organization provides access to care across the healthcare spectrum in all 159 Georgia counties, investing in its professionals and communities. Its mission is to boldly address the needs of a growing, mature population in Georgia, continuously innovating and advancing change in healthcare to improve people's lives.
Requirements
- Bachelor’s degree in social work or related human services field is required with 2 years of work experience.
Nice To Haves
- Experience in social work, home and community-based services, healthcare or geriatrics preferred.
Responsibilities
- Acts as a liaison between members and home and community-based service providers to facilitate quality and cost-effective care and outcomes.
- Provides education and support to members and their families regarding community resources and services.
- Develop effective, collaborative relationships with key stakeholders including primary care providers, managed care plan providers, home and community-based service providers (HCBS), formal/informal caregivers and families.
- Maintains regular communication with members through phone calls and home visits to monitor their wellbeing and adjust careplans as needed.
- Records and documents interventions and member information completely and accurately, in accordance with payer and organization guidelines.
- Collaborates and communicates with internal team members, including Central Intake and Assessment Team members, to ensure continuity of care for assigned members.
- Identifies and resolves care plan variances, including barriers to primary and specialized medical care, to ensure effectiveness of member’s careplan.
- Assesses and addresses member engagement and behavior to support optimal health and functional status.
- Participates in after-hours on-call rotation requirements, as assigned.
- Maintains and monitors quality of services through collaboration with the Quality Assurance and Education Team and Care Management Director.
- Participating in Community Outreach as outlined in Quarterly Outreach plan.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Number of Employees
11-50 employees
