-
Care Manager
1 day ago
HESSCO Elder Services Walpole, United StatesHESSCO is recruiting to fill the role of full-time Care Manager (37.5 hours per week)_**.**_ · The Home Care Program helps older adults, and individuals with a disability live safely and with independence while aging in place. The role of the Care Manager is to insure that indivi ...
-
Home Care Program Care Manager
3 days ago
Old Colony Elder Services Brockton, United States**OCES** aims to support elders and individuals with disabilities by providing vital information and coordination of services that promote healthy, safe lives for our consumers. We want to help them stay as active and engaged in their lives and in their own communities for as lon ...
-
Care Management Assistant
1 week ago
Kent Hospital Warwick, United States**Primary Function** · The Care Management Assistant provides secretarial, clerical, and administrative support for the Care Management Department. · Collaborates with RN Care Managers and Clinical Social Workers to complete clerical/technical tasks required to maintain the appro ...
-
Rn Care Manager
1 day ago
Kent Hospital Warwick, United States**Primary Function**:Responsible for analyzing medical records for the preparation of attestments used in billing and responsible for determining the appropriate level of care, quality care delivered and resource management. · **Job Qualifications and Specifications**:A Bachelor' ...
-
Aging Life Care Manager
4 days ago
Symphony Care Management Natick, United States**SYMPHONY CARE MANAGEMENT CULTURE STATEMENT**: · We are a multidisciplinary team of compassionate, skillful elder care experts who are passionate about supporting our clients and their families to their unique goals. We hire people who work collaboratively, encourage, and suppor ...
-
Floating Care Manager- Massachusetts
1 week ago
WeCare 365-Adult Foster Care/Adult Family Care Brockton, United StatesCare Manager, Adult Foster Care · **REPORTS TO**: Supervisor of Care Management Team · - **CAPE VERDEAN CREOLE, PORTUGUESE, OR SPANISH SPEAKER ENCOURAGED TO APPLY**: · - **Serving Brockton**: · - Demonstrated leadership ability · - Bachelors' degree, in Human Service related fiel ...
-
Foster Care Case Manager
5 days ago
Sevita Dedham, United States**Massachusetts Mentor**, **a part of the Sevita family, provides Treatment Foster Care services to youth who may be facing out-of-home placements, transitioning back into the family home or independent living alternatives, or involved in the juvenile justice system. Through our ...
-
Home Health Rn Patient Care Manager
1 week ago
LHC Group Westborough, United States**We are hiring for a Full time Patient Care Manager RN with Home Health experience to help us with our growing clients** · Pay Ranges Starting at: $104K+ · At **Caretenders**, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful conn ...
-
Tri-Valley, Inc. Dudley, United StatesThe basic function of the Case Manager is to: (1) assist elders in obtaining services that will secure an independent lifestyle, (2) identify gaps in services and (3) advocate for services that will maximize independent functioning and to educate and promote awareness of communit ...
-
AccentCare, Inc. Fall River, United StatesOverview: · **Salary**: $100,000 - $112,000 · **Find Your Passion and Purpose as a Home Health Patient Care Manager** · **Reimagine Your Career in Home Health** · As a medical professional, you know that what you do impacts you as much as your patients and their families, and at ...
-
24.50 per hour Team
2 weeks ago
Stellar Enterprises Greenville, RI, United States FreelanceAre you a certified geriatric nurse, nurse, or intensive care nurse in Greenville, RI? · Do you wish to have more time to care for your clients? · Do you desire more responsibility in your profession? · Then we are looking for you. Join our great and competent bipG team in H-Neus ...
-
Caregiver Position in Providence Forge, Va
1 week ago
Senior Helpers - Richmond, VA Providence Forge, United States**40 HOUR WORK WEEKS AVAILABLE** · **AT SENIOR HELPERS** · ***Cases available for caregivers in Providence Forge, VA** · **Begin a remarkable career that will make a difference in the lives of seniors. **Senior Helpers is urgently hiring for caregivers If you have experience work ...
-
Clinical Program Manager
3 days ago
Thundermist Health Center Woonsocket, United StatesThundermist's Mission - To improve the health of our patients and communities by delivering exceptional health care, removing barriers to that care, and advancing healthy lifestyles. · Please note, effective September 1,2021, all Thundermist employees are required to have an init ...
-
Case Manager Ihh
1 week ago
Community Care Alliance Woonsocket, United StatesCommunity Care Alliance, located only 15 miles from Providence, RI, is seeking compassionate individuals who want to make a difference in someone else's life. Integrated Health Home Case Managers are an integral part of our Community Support and Nursing Department connecting indi ...
-
Ccbhc Mobile Crisis Rn
1 week ago
Community Care Alliance Woonsocket, United StatesCommunity Care Alliance is seeking a Registered Nurse to be a part of our evolving 24/7 crisis team in the Northern RI area. The goal if this program is to provide 24/7 coverage to support people who are experiencing a behavioral health crisis, with emphasis on crisis stabilizati ...
-
Manager, Marketing
1 day ago
CVS Health Woonsocket, United StatesBring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — ...
-
Cds Trainee
3 days ago
Landmark Medical Center Woonsocket, United States**Overview**: · At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Landmark Medical Center is actively seeking new members to join its award-winning team · **Respo ...
-
Marketing Manager, Bilingual Spanish
4 days ago
CVS Health Woonsocket, United StatesBring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — ...
-
Community Care Alliance Woonsocket, United StatesCommunity Care Alliance is seeking a community mental health worker to work as a member of our 24/7 mobile crisis team. The community mental health worker will work with a team consisting of a clinician, RN, case manager and peer specialist and assist individuals who are experien ...
-
Ccbhc Mobile Crisis Peer Specialist
1 week ago
Community Care Alliance Woonsocket, United StatesCommunity Care Alliance is seeking a certified peer specialist to work as a member of our 24/7 mobile crisis team. The certified peer specialist will work with a team consisting of a clinician, RN, case manager and community mental health worker and assist individuals who are exp ...
Integrated Care Manager - Smithfield, United States - Neighborhood Health Plan of RI
Description
Job DetailsPosition Type
Full Time
Education Level
Bachelors Degree
Travel Percentage
Daily
Job Shift
Daytime
Job Category
Professional / Experienced
Description
The Integrated Care Manager (ICM) works collaboratively with the integrated care team to manage and coordinate care for a specific population of members whose needs represent high clinical and social risk in order to ensure quality and cost-effective member-centered care.
Responsibilities include, but are not limited to the following:
Practice care management within the scope of licensure.
Utilizes care management principles and sound clinical judgment in coordinating care for a specific member population
Performs intensive care management functions for identified individuals in order to promote quality, cost-effective outcomes, including but not limited to:
Performing a comprehensive assessment which includes care planning activities including the development of interventions, short and long-term goals in collaboration with member, family, PCP, behavioral health professionals and other involved health care professionals and community agencies, as appropriate
Communicate with providers to facilitate needed care
Implements care plan, facilitates referrals, coordinates services, and resources and provides ongoing monitoring and re-evaluation of outcomes
Continuous monitoring and evaluation of the care outcomes and identification of service gaps
Regular review and revision of the plan of care in collaboration with the family and appropriate members of the health care team based on the outcomes and evaluative findings
Off-site visits (such as but not limited to home, hospital or community health centers or other community agencies) as necessary or required
Completes comprehensive documentation of all activities and contacts in Care Management software system
Facilitates referrals and coordinates needed services
Collaborates with team as necessary in identifying needed services and supports
Communicates with ancillary departments, such as Provider Relations and Member Services, as necessary to meet individual needs of members and providers
Meets department and regulatory standards for accuracy, proficiency, and documentation in order to communicate decisions and plan of care in an appropriate and timely manner
Provides clinical oversight to community outreach and other team members, providing direct supervision of community outreach staff as appropriate regarding individual care status
Serves as a clinical resource to respond to questions from various departments
Provides cross-coverage as assigned
Participates in outreach/marketing activities as needed and as appropriate
Other duties as assigned
Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood's Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies, and procedures as it applies to individual job duties, the department, and the Company.
Qualifications
Qualifications
Required:
Active, current, unrestricted RN, LMHC, LCDP, LCSW or LICSW license in RI in good standing (Consideration will be given to individuals without current RI license. Must provide documentation confirming application within 24 hours of offer)
Minimum of two (2) years care management, behavioral health, or community health experience
PC based software programs - intermediate level of proficiency
Strong organizational and interpersonal skills
Customer service orientation
Ability to work independently and prioritize activities
Must have access to reliable transportation. If using personal vehicle, must have active driver's license and auto insurance
Preferred:
Managed Care experience
Certified Care Manager
Demonstrated experience working with Medicare, Medicaid, and commercial products
Bachelors degree
Masters degree
Bilingual
Behavioral Health and/or Substance use expertise
Neighborhood Health Plan of Rhode Island is an equal opportunity employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
#J-18808-Ljbffr
