Key Facts

Remote From:

Full time

Expert & Leadership (>10 years)

English

Hard Skills

Care Management Health And Wellness Coaching Care Coordination Social Determinants Of Health Care Coordination Case Management Systems Performance Management Quality Assessment Executive Relationship Management Cross-Functional Collaboration Medication Therapy Management Community Advocacy Organizational Structure

Other Skills

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Communication
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Time Management
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Teamwork
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Customer Service
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Problem Solving

Empower Healthcare Solutions

About Empower Healthcare Solutions

Empower’s model of care ensures individuals with behavioral health needs or intellectual or developmental disabilities (IDD) receive the right care, in the right setting, at the right time to improve health outcomes and manage total health care costs. Our mission is to empower individuals to lead fuller, healthier lives at home in their communities. Our members are at the center of all we do. We partner with providers, advocates, and the community to deliver the right solutions for an improved quality of life for our members We identify all of the individual’s treating providers and include their input when developing the individual’s plan of care. Ensuring the plan is person-centered, we identify individual’s strengths and needs by collaborating with them and their family members during the development process. We also address their functional needs based upon their Independent Assessments. We then develop clinical interventions to help our members navigate the medical, behavioral health, and developmental disability systems as well as access community resources to address their needs.

Company type: SME

Founded: 2018

Company size: 201 - 500

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Job description

Job Summary:

Provide specialty service care coordination to members. Ensure appropriate services are delivered by specialty providers and ensure continuity of care across services. Responsible for the total care plan, encompassing all services and plans related to beneficiaries. Provide case management complying with Conflict Free Case Management rules.

Primary Duties/Responsibilities:

May include, but are not limited to:

Assist members with healthcare needs by ensuring providers and services are working together so that the member’s health is improved.
Provide health education and coaching to members tailored to issues identified within treatment and service plans.
Develop the Person-Centered Support Plan (PCSP) and provide choices for members in this process.
Ensure compliance with the PCSP and assist with any resources needed or barriers to accessing treatment.
Coordinate with various healthcare providers for diagnostics, ambulatory care, and hospital services.
Assist members with social determinants of health including access to exercise and healthy food.
Promote activities focused on the health of a patient and their community, including outreach, quality improvement, and patient panel management.
Coordinate community-based management of medication therapy
Participates in staff meetings and clinical conferences.
Ensures that performance guarantees are met or exceeded.
Interfaces with external and internal customers to ensure optimal efficiency of service.
Other duties and responsibilities as assigned.