Home-Based Care Manager for Dual-Eligible Members

Insight Global; Dayton (OH); In loco; USD 60.000 - 90.000; Tempo pieno

Descrizione del lavoro

Insight Global is seeking a Community Based Care Coordinator in Dayton, OH to assess medical, behavioral and social needs of dual-eligible individuals. You will develop personalized care plans and connect members with community resources, meeting them in homes or other settings.

This role requires an Ohio clinical license (RN or ASN), healthcare experience, and collaboration with physicians, social workers, and state agencies.

Competenze

• Must hold a current, unrestricted Ohio clinical license (RN or ASN).
• Experience in healthcare roles such as nursing, social work, counseling, case management, or home health.

Mansioni

• Conduct comprehensive member assessments to identify medical, behavioral health, and social needs.
• Develop, implement, and update individualized care plans.
• Meet with members in homes, healthcare settings, offices, and community locations.
• Coordinate care among members, providers, and community organizations.
• Lead interdisciplinary care teams to coordinate member care.
• Coordinate transitions of care and follow up after hospitalizations to prevent readmissions.
• Connect members with housing, transportation, food assistance, and other community resources.
• Educate members and families on Medicare, Medicaid benefits, chronic condition management, and preventive care.
• Monitor progress and adherence to the care plan.
• Document interactions, care plans, interventions, and outcomes.
• Identify barriers to care and report suspected abuse or neglect as required.
• Maintain compliance with NCQA and CMSA standards.

Conoscenze

Care coordination

Case management

Discharge planning

Home visits

Formazione

Ohio license (RN or ASN)

Descrizione del lavoro

Insight Global is seeking a Community Based Care Coordinator in Dayton, OH to assess medical, behavioral and social needs of dual-eligible individuals. You will develop personalized care plans and connect members with community resources, meeting them in homes or other settings.

This role requires an Ohio clinical license (RN or ASN), healthcare experience, and collaboration with physicians, social workers, and state agencies.