Care Manager for Care Management Services

CHSGa • Duluth, GA

2d

About The Position

Join us at NextStep Care – a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level