About The Position

For members of a defined population, responsible for collaborating with the members of the health care team to facilitate the coordination of appropriate, cost-effective services that are consistent with members plan of care, help achieve their optimal level of independence and enhance quality of life.

Responsibilities

  • In close collaboration with the member/members family, and members of the health care team, assesses the members health status, functional limitations, psychological status, social support systems, resources, environmental factors, and response to treatment.
  • Uses motivational interviewing techniques to identify patients readiness for change, creates appropriate care plan based on assessments, assists member with health system navigation and connection to community resources.
  • Provides supportive counseling and education to members, families and caregivers, members of the health care team, and others including end-of-life issues and Advance Directives.
  • Effectively manages and coordinates assigned caseload consistent with established criteria. Ensures consistent and reliable documentation of case management activities in compliance with all organization and department standards.
  • Facilitates application process for accessing local, state, and federally funded programs (e.g., Medicaid, Medicare, Disability) and/or refers to appropriate community agencies in cases of suspected patient abuse/neglect when identified.
  • Coordinates care across the care continuum for members receiving behavioral health and substance abuse services.
  • Responsibilities include, but are not limited to, problem identification, psychosocial assessment, financial counseling/referral, accessing community resources, placement for care, guiding the member through health-related legal processes, or consultation and support to other health care professionals.

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What This Job Offers

Job Type

Full-time

Industry

Religious, Grantmaking, Civic, Professional, and Similar Organizations

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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