Case Manager for Care Management Services

Join us at  

NextStep Care

– a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion  in a non-profit, mission-driven organization that’s known for the highest level of care in our communities

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Coordinates care which will include home visits that is safe, timely, effective, efficient, equitable, and client/member centered.
• Handles case assignments, drafts community-based carepath plans (including both informal and paid care) and reviews member progress toward carepath goals. 
• Advocates for informed decisions by members regarding their status and treatment.
• Develop effective working relationships and cooperates with multiple teams throughout the case management process; may include primary care providers, managed care plans, home and community-based service providers (HCBS), informal caregivers etc.
• Communicates effectively with all members of the team, including formal and informal caregivers. 
• Records and documents case information completely and accurately in accordance with Care Management Services guidelines.
• Collaborate with internal team members, including Program Support Specialists for Care Management Services, to ensure communication for continuity of care for cases assigned.
• Identifies and resolves carepath variances as they occur; consults with internal and external teams as indicated to ensure effectiveness of community carepath.
• Refers members to a wide variety of community resources as indicated, for formal and informal assistance.
• Works to preserve the essential role of family and informal caregivers in assisting members in meeting carepath goals and addressing social risks.
• Promotes quality and cost-effective interventions and outcomes.
• Assesses and addresses member motivational and behavioral barriers to optimal health and function.
• Assists in removing barriers to primary and specialized medical care, to support optimal health and functional status.
• Meets all mandated reporting requirements.
• Takes call on a rotating basis as assigned.

• Maintains and monitors quality through effective collaboration with Quality Assurance and Education Coordinator for Care Management Services and Administrator for Care Management Services.
• Ensures effective implementation of Quality Assurance and Education plans, initiatives and processes.

• Maintains prompt, accurate and secure documentation as it relates to member needs, contacts and plans.
• Ensures appropriate documentation is filed promptly in members’ chart as outlined in operational Care Management Services Guidelines.
• Ensures member information is secure when removed from the assigned location.

• Accurately reports work time and business expenses in accordance with organizational guidelines.
• Provides on-site assistance for all state surveys, unless previously excused by Administrator for Care Management Services.
• Reports corporate compliance concerns appropriately.

• Participates in weekly multidisciplinary team meetings prepared to discuss assigned members and to present new members.
• Participates in weekly staff meetings.
• Participates in all meetings and in-services as required.
• If a Licensed Practical Nurse or Registered Nurse, may be required to perform Assessment Nurse LPN duties as needed.
• Assists with Case Manager duties for other locations as needed.

EEO / M / F / D / V / Drug Free Workplace

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