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    Healthcare - Case Manager I - Miami Beach, FL, United States - APN Consulting, Inc

    APN Consulting, Inc
    APN Consulting, Inc Miami Beach, FL, United States

    2 weeks ago

    Default job background
    Description
    APN Healthcare Solutions has an immediate need for a direct client requirement: Location: Remote (Sarasota/ Venice)
    Will the position be 100% remote? They will work from home but they are required to do Face to Face visits in the members home/Assisted Living Facilities or Nursing Home Facilities
    BA in related fields like social work, health administration.
    Identify any gaps in care or health care needs
    Access resources to help you with special health care needs and assist your caregivers with day-to-day stress
    This can include being discharged from the hospital
    Assess eligibility for long-term care services and support
    Connect with community resources
    Find services from additional resources, including community and social services programs like physical therapy or "Meals on Wheels "
    Arrange for services with a primary care provider (PCP), family members, caregivers and any other identified provider
    What additional equipment besides a laptop, keyboard, mouse and headset will be required for this candidate to be successful in this role? (Responsible for health care management and coordination of Client Healthcare 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 member's progress and services to ensure consistent cost effective care that complies with Client policy and all state and federal regulations and guidelines.

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

    o Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs.

    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.

    Bachelor's degree in Nursing or Masters degree in Social Work, or Health Education (a combination of experience and education will be considered in lieu of degree).

    Active, unrestricted State Registered Nursing license or Licensed Clinical Social Worker LCSW or Advanced Practice Social Worker APSW in good standing.

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