Description:

Responsible for assessment, member-centered care plan development, ongoing care coordination, quality assurance and monitoring of services to program members, who may be older adults and/or individuals who have intellectual and/or physical disabilities.

• Achieve member outcomes and goals through adherence to standards of care and best practices
• Interact with members and their families with the highest level of respect, compassion and integrity
• Identifies and/or participates in efforts to continuously improve the quality of member care and services
• Fosters the member-centered culture
• Complete discipline-specific initial and ongoing assessments. Conducts home visits and home assessments as needed, and consults with families and other supports for additional information as needed
• Develops and maintains care plans, including members' long term care and personal outcomes, progress towards past identified outcomes, member strengths, risks, natural and formal supports
• Educates members and families regarding aging, disability or health issues, and provides information to members to assist in establishing and maintain community links. Assists members with filing complaints, grievances or appeals and obtaining advocacy services as needed.
• Maintains member contact standards and documentation standards, and stays informed of current trends and best practices
• Manages an assigned caseload of program members in collaboration with an RN Care Manager
• Completes comprehensive member assessments, member centered care plans, & functional screens
• Provides ongoing care coordination and quality assurance monitoring of services
• Maintains required documentation in adherence to established standards.

Skills:

Case management, Medicare, Medicaid, Managed care, badger care, Healthcare industry, Healthcare management system, Social work, Psychology, Human services, certified functional screener, healthcare management

Additional Skills & Qualifications:

Education: Bachelor’s Degree in a Human Services Area or closely related field required.

Experience: One year of experience with older adults or persons with physical and or intellectual disabilities in a social service capacity required.

Certification: Eligibility for long-term care functional screener certification is required

About Actalent

Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.

Diversity, Equity & Inclusion

At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent
• Maintaining an inclusive environment through persistent self-reflection
• Building a culture of care, engagement, and recognition with clear outcomes
• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.