Description

The Care Manager serves as the main point of contact between the member/family/LRP and all members of the care team. The CM is responsible for creating and sharing the plan of care using input from all team members. Key point of contact for issues that arise and connect to needed supports.

Essential Duties and Responsibilities

• Complete comprehensive assessments and Plan of Care at enrollment, yearly or at changes in condition.
• Share assessments and Plans of Care with team members with agreed upon expectations

• Identify, educate, submit and follow up on progress for referrals to external or internal clinical, primary, pharmacy, social needs and or specialty providers
• Support member in health literacy and options available for providers and needs
• Utilize person centered planning, motivational interviewing and historical review of assessments in various platforms from clinicians and others to gather information and to identify supports needed
• Actively collaborate with care team, members supported, and service providers to ensure development and implementation of a plan that accurately reflects the individual’s needs and goals
• Provide education and support, to individuals and LRP, around rights, common milestone assessments and supports available through the public system and other community resources

• Coordinate with other team members throughout the plan year as needed
• Communicate with family/member/LRP at minimum based on identified acuity requirement, and more often based on needs
• Ensure for 24:7 coverage of crisis back up as needed in care in collaboration with care team
• Adhere to electronic documentation standards deemed necessary via ASNC policy

Other duties as assigned in support of the mission of the organization.

Qualifications

Minimum Qualifications:

• Bachelor’s Degree in field related to health, psychology, sociology, nursing or other relevant human services area
• Two years’ experience providing Care Management, Case Management, or Coordination to complex individuals with IDD/ASD.
• Ability to work independently from a satellite office covering a region of several counties without an onsite supervisor

• Valid driver’s license and reliable transportation