TEMP - Care Manager (2) - Cogent Infotech Corporation
Orange, CA 92868
About the Job
Title: TEMP - Care Manager
Location: Orange CA 92868
Duration: 5 months
Responsibilities:
Minimum Qualifications:
Preferred Qualifications:
Required Licensure / Certifications: N/A
Knowledge & Abilities:
Location: Orange CA 92868
Duration: 5 months
Responsibilities:
- 85% - Care Management Assesses member needs using a standardized health needs assessment or health risk assessment with member or member’s representative.
- Performs post-discharge assessment to identify member’s post-hospital or post-ED discharge needs including but not limited to: Member’s physical, functional, social and psychological status Member’s cultural and linguistic needs Caregiver resources and available benefits Follow-up provider care and ensuring scheduled appointments Durable medical equipment and supplies Community resources Develops and implements a member’s specific care plan which includes prioritized SMART goals.
- Care plan will be continuously reviewed, modified and updated to reflect the member’s needs.
- Schedules weekly follow-ups with member or member’s representative to assess progress towards goals and identifies barriers to meeting goals.
- Provides regular outreach to assigned members along with assigned members from a worklist and evaluates quality of service given to members according to department contact standards. Coordinates care and services with members, members’ family members/representatives and other providers, as appropriate, including Community Supports and LTSS.
- Conducts face-to-face meetings at settings outside of client's locations such as in hospitals, skilled nursing facilities, long-term acute care hospitals, recuperative care and in member’s home settings with members, members’ family members/representatives and other providers, as appropriate. Communicates with member’s physicians, specialists, community agencies and vendors to ensure coordination of services.
- Facilitates referrals to behavioral health/substance use disorder services and identifies and makes referrals to Long-Term Support Services (LTSS) department, Community Supports and community resources.
- Facilitates and participates in Interdisciplinary Care Team meetings, as applicable.
- Collaborates with interdepartmental staff in case resolution as needed.
- Identifies cases needing manager, director or medical director review or input, routes accordingly and closes cases according to procedures and guidelines in a timely manner.
- Prepares and maintains appropriate documentation of patient care and progress within the documentation platform or care plan as appropriate.
- Advocates in the member’s best interest for necessary funding, treatment alternatives, timelines and coordination of care and frequent evaluations of progress and goals.
- 10% - Administrative Support Participates in a mission driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
- Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
- Follows client's protocol for documenting all case interventions.
- Ensures reporting of productivity metrics to supervisor.
- 5% - Completes other projects and duties as assigned.
Minimum Qualifications:
- Bachelor’s degree in social work, psychology, gerontology, public health or social science required.
- 5 years of clinical experience and/or managed care experience required.
- Valid driver’s license and vehicle or other approved means of transportation, an acceptable driving record and current auto insurance will be required for work away from the primary office 20% of the time or more.
Preferred Qualifications:
- Licensed Vocational Nurse, Licensed Marriage and Family Therapist, or master’s degree in social work, gerontology, public health or related field.
- Experience with behavioral health or substance use case management.
- Certified Case Manager (CCM) certificate.
- Bilingual in English and one of client's defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese).
Required Licensure / Certifications: N/A
Knowledge & Abilities:
- Develop rapport and establish and maintain effective working relationships with client's leadership and staff and external contacts at all levels and with diverse backgrounds.
- Work independently and exercise sound judgment.
- Communicate clearly and concisely, both orally and in writing.
- Work a flexible schedule; available to participate in evening and weekend events.
- Organize, be analytical, problem-solve and possess project management skills. Work in a fast-paced environment and in an efficient manner.
- Manage multiple projects and identify opportunities for internal and external collaboration. Motivate and lead multi-program teams and external committees/coalitions.
- Utilize computer and appropriate software (e.g., Microsoft Office: Word, Outlook, Excel, PowerPoint) and job specific applications/systems to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment.
Source : Cogent Infotech Corporation
