Care Manager: Trauma-Informed Care & Coordination

CareSource Nevada Co.; Jackson (MS); On-site; USD 56,000 - 90,000; Full time

Benefits offered by this job

Bonus potential

Total rewards package

Job summary

CareSource is seeking a Care Manager to collaborate with an inter-disciplinary care team to improve quality and meet the needs of members with culturally competent care. You will coordinate assessments, develop ICPs, and address behavioral, physical, and social determinants of health.

The role emphasizes communication with members and providers, care coordination, and adherence to CMSA standards. It includes flexible hours and potential travel as needed to serve members.

Qualifications

• Requires AS in nursing or BS in healthcare; Master with clinical licensure preferred.
• Three (3) years experience in nursing or social work or counseling or health care profession required.
• Three (3) years Medicaid and/or Medicare managed care experience preferred.
• Equivalent years of relevant work experience may be accepted in lieu of required education.

Responsibilities

• Engage member and natural supports through strength-based assessments and trauma-informed care.
• Facilitate inter-disciplinary care team meetings to meet member needs.
• Communicate with member via telephonic or electronic means.
• Develop and update a person-centered ICP with ICT collaboration.
• Identify and manage barriers to ICP goals.
• Implement interventions based on clinical standards and best practices.
• Assist member in managing health through care coordination and case management.
• Coordinate with ICT to achieve goals and positive member outcomes.
• Educate member about treatment options, resources, benefits, and decisions.
• Assess and document member response to ICP.
• Evaluate member satisfaction and address concerns.
• Monitor resource utilization through clinical variance and benefits management.
• Verify eligibility and health status of each member.
• Complete psychosocial and behavioral assessments from multiple sources.
• Oversee timely psychosocial assessments and care planning.
• Participate with providers to inform about Care Management services.

Skills

Quality & HEDIS

MS Office

Effective communication

Multitasking

Healthcare laws & regs

Code of ethics

CMSA standards

Advocacy for members

Cultural awareness

Research interpretation

Community resources

Critical thinking

Time management

Education

Associates of Science in Nursing

Bachelor's degree in healthcare field

Master's or Bachelor's with clinical licensure

Equivalent years of relevant work experience

Job description

CareSource is seeking a Care Manager to collaborate with an inter-disciplinary care team to improve quality and meet the needs of members with culturally competent care. You will coordinate assessments, develop ICPs, and address behavioral, physical, and social determinants of health.

The role emphasizes communication with members and providers, care coordination, and adherence to CMSA standards. It includes flexible hours and potential travel as needed to serve members.