Community-Based Care Manager: Coordinated Care Lead

CareSource; Nevada (IA); On-site; USD 63,000 - 100,000; Full time

Job summary

CareSource is seeking a Community Based Care Manager in the United States to collaborate with an interdisciplinary care team, providers, community and faith-based organizations. You will coordinate services, conduct assessments, and help create and evaluate person-centered care plans addressing behavioral, physical, and social health determinants to improve member lives.

You will engage members and natural supports, facilitate ICT meetings, and work across settings to build professional

Qualifications

• Nursing degree or health care bachelor's is required.
• Current licensure as RN, Clinical Counselor, or Social Worker required.
• Three years of nursing, social work, counseling or care coordination experience required.
• Three years Medicaid/Medicare managed care experience preferred.

Responsibilities

• Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworks
• Facilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member
• Engage with the member in a variety of settings to establish an effective, professional relationship. Settings for engagement include but are not limited to hospital, provider office, community agency, member’s home, telephonic or electronic communication
• Develop and regularly update a person-centered individualized care plan (ICP) in collaboration with the ICT, based on member’s desires, needs and preferences
• Identify and manage barriers to achievement of care plan goals
• Identify and implement effective interventions based on clinical standards and best practices
• Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management
• Facilitate coordination, communication and collaboration with the member the ICT in order to achieve goals and maximize positive member outcomes
• Educate the member/ natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made
• Employ ongoing assessment and documentation to evaluate the member’s response to and progress on the ICP
• Evaluate member satisfaction through open communication and monitoring of concerns or issues
• Monitors and promotes effective utilization of healthcare resources through clinical variance and benefits management
• Verify eligibility, previous enrollment history, demographics and current health status of each member
• Completes psychosocial and behavioral assessments by gathering information from the member, family, provider and other stakeholders
• Oversee (point of contact) timely psychosocial and behavioral assessments and the care planning and execution of meeting member needs

Skills

Interdisciplinary collaboration

Motivation interviewing

Health equity lens

Communication

Time management

Education

Nursing degree or health care bachelor's

RN/Clinical Counselor/Social Worker licensure

Advanced degree preferred

3 years relevant experience

Medicaid/Medicare managed care exp preferred

Tools

Microsoft Office

Outlook

Word

Excel

Job description

CareSource is seeking a Community Based Care Manager in the United States to collaborate with an interdisciplinary care team, providers, community and faith-based organizations. You will coordinate services, conduct assessments, and help create and evaluate person-centered care plans addressing behavioral, physical, and social health determinants to improve member lives.

You will engage members and natural supports, facilitate ICT meetings, and work across settings to build professional