The Care Manager I-Facility Based position is comprised of non-licensed physical and behavioral health experts, who provide an episodic support role to the members’ multidisciplinary care team (MDT). The episodic support roles provided by the Care Manager I-Facility Based may include, but is not limited to, completing warm hand offs, assisting with State required assessments, and coordinating member follow up care.
This is a full-time remote opportunity. There is no expectation of coming into the office routinely, however, the selected candidate must be available to report onsite to the Alliance Office for business meetings as needed.
Responsibilities & Duties
Assessments and Planning
- Assist the Care Manager II-Facility Based with members transitioning from Acute Inpatient care settings to an appropriate lower level of care setting
- Obtain necessary releases of information that will improve care management activities on behalf of the member
- Provide education and support to members and legal guardians regarding their rights and responsibilities, available service options, providers availability, and payer requirements
- Assist in the completion of Assessments (i.e. Care Needs Screening, 90-day Assessment, CMCA); assist with interventions identified via the assessments and/or care plans
- Actively collaborate with member/guardians and providers to develop discharge plans that adequately address barriers to discharge and applicable Social Determinants of Care
Core Transition Activities
- Engage the member’s community primary care physician (PCP) and other providers as appropriate so that they are actively engaged in the transition planning process prior to member’s discharge
- Assist the member before discharge (by phone or in person) in connecting with a qualified community PCP and clinical specialists as needed
- Facilitate arrangements for and scheduling of transportation, in-home services, and follow-up outpatient visits within the appropriate timeframe
- Conduct post-discharge follow up with member to proactively address Physical and Behavioral Health barriers to member adhering to scheduled follow-up appointments
Core Documentation Requirements
- Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency, and Medicaid requirements
- Follow administrative procedures and effectively manages caseload
Travel
- Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required
- Travel to meet with members, providers, stakeholders, attend court hearings etc. is required
Minimum Requirements
Education & Experience
Required:
Bachelor’s degree from an accredited college or university in Human Services field and two (2) years of experience working directly with individuals with Behavioral Health and Physical Health conditions.
Or
Bachelor’s degree from an accredited college or university in Non-Human Services field and four (4) years of experience working directly with individuals with Behavioral Health and Physical Health conditions.
Preferred:
NACCM, NADD-Specialist, Health Education Specialist, and/or CBIS preferred
Knowledge, Skills, & Abilities
- Knowledge of resources and systems in the community that can assist with eliminating SDOH barriers to treatment and whole person living.
- A high level of diplomacy and discretion is required
- Problem solving, negotiation, arbitration and conflict resolution skills
- Must be highly skilled at shifting between macro and micro level planning
- Detail oriented
- Ability to organize multiple tasks and priorities, and to effectively manage projects from start to finish.
- Work activities and quickly adapt to mandated changes and priorities within the department.
- The ability to change the focus of his/her activities to meet changing priorities.
- Proficiency in Microsoft Office products (such as Word, Excel, Outlook, PowerPoint, etc.) is required.
Salary Range
$25.75 - $33.48/ Hourly
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity
An excellent fringe benefit package accompanies the salary, which includes:
- Medical, Dental, Vision, Life, Long Term Disability
- Generous retirement savings plan
- Flexible work schedules including hybrid/remote options
- Paid time off including vacation, sick leave, holiday, management leave
- Dress flexibility
Employment for this position is contingent upon a satisfactory background and MVR (Motor Vehicle Registration) check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.
Want to learn more about what it's like work as part of the Care Management Team? Click on our video to learn more: https://youtu.be/1GZOBFx61QU
