Care Manager - Home to Provider
Long Beach, CA, United States
Full time | Care Navigators On Demand | United States
Posted On 03/06/2017 Job Information City
Long Beach
State/Province
California
Job Description Qualifications
Develops individualized care plan utilizing evidence-based guidelines and clinical knowledge for client and provider by evaluating and conducting home visits, gathering assessment information, and identifying problems, goals and interventions.
Delivers ongoing care coordination/care management by coaching, educating, navigating and referring to appropriate care and community based resources.
Assists clients and caregivers in taking an active role in chronic disease management and health prevention, by coaching, using motivational interviewing and educating about self-management tools and strategies.
Develops cross-functional relationships with medical groups by attending appropriate meetings, working on-site, and structuring effective communication mechanisms.
Coordinates with health care team to identify barriers to treatment plan by sharing home assessment information.
Achieves best use of staff resources by supporting community health worker and dividing workload efficiently.
Completes timely and accurate documentation in multiple computer systems to record assessment and corresponding documentation, including care plans, and progress notes.
Exhibits strong interpersonal, critical thinking and analytical skills through positive communication with clients, caregivers, healthcare team and community agencies.
Demonstrates excellent organizational, decision-making and multi-tasking skills as demonstrated by problem solving and successful outcomes.
Enhances skills and knowledge by participating in team case conferences and training, per department guidelines.
Utilizes department desktop procedures, workflows, job aids and training materials. Identifies barriers to work processes and brings to the attention of the supervisor/manager.
Adheres to all quality, compliance and regulatory standards to achieve HCS and the Medical Group outcomes.
Contributes to team effort by accomplishing related results as needed.
Requirements
8+ years in medical managed care field with a Bachelor’s Degree, or 3+ years in medical managed care field with a Master’s Degree in Social Work.
Gerontology Demonstrated knowledge of assessment, health and functional problems of older adults.
Knowledge of community resources for seniors.
Basic knowledge of related, CMS and DHCS regulations.
Proficient in MS Office.
Valid driver’s license, automobile insurance and reliable transportation.
Care Navigators On Demand is an Equal Opportunity Employer and does not discriminate on the basis of race or ethnicity, religion, sex, national origin, age, veteran disability or genetic information or any other reason prohibited by law in employment.
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