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Atlanta

    Case Manager - Atlanta, GA, United States - Integrated Resources, Inc

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    Description

    Location:
    Remote + Field Visits

    Remote position but there will be an expectation of field visits 3 days a week to conduct face-to-face visits with the members.


    • Must live within 30 minutes of driving time to all of the following: Arlington Heights, Barrington, Bartlett, Elgin, Hanover Park, Hoffman Estates, Mount Prospect, Palatine, Rolling Meadows, Roselle, Schaumburg, Streamwood, Wheeling.
    • *There is no requirement for RNs or LPN, or LCSW for Long-Term Care positions though we welcome those with terminal licenses

    Responsible for health care management and coordination of client's members in order to achieve optimal clinical, financial and quality of life outcomes.

    Works with members to create and implement an integrated collaborative plan of care.

    Coordinates and monitors Client members progress and services to ensure consistent cost effective care that complies with Client policy and all state and federal regulations and guidelines.

    Conducts assessment of member needs by collecting in-depth information from Client's information system, the member, members family/caregiver, hospital staff, physicians and other providers.

    o Performs ongoing monitoring of the plan of care to evaluate effectiveness. o Documents care plan progress in Client's information system. o Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes.

    Promotes integration of services for members including behavioral health and long-term care to enhance the continuity of care for Client members.


    • Maintains department productivity and quality measures.
    • Manages and completes assigned work plan objectives and projects in a timely manner. Attends regular staff meetings. Participates in Interdisciplinary Care Team (ICT) meetings. Maintains professional relationships with provider community and internal and external customers. Work independently and handle multiple projects simultaneously. Knowledge of ICD-9, CPT coding and HCPC. Computer skills and experience with Microsoft Office Products. Ability to abide by Client's policies.

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