RN/SW Care Manager

The Care Manager acts as the sole communicator between member and Plan. Responsibilities include reviewing of person centered service plan with member/members family and coordination of covered and non-covered benefits. Care Manager is responsible for monthly contact and follow up with the members. Potential to work directly with Residences, Adult Homes, etc., and monthly visits to residences with whom they work

Essential Responsibilities:

• Monthly communication with members
• Follow up and respond to identified items requiring attention
• Communication and coordination of member care with members and family members as well as vendor agencies
• Timely and thorough documentation in members’ charts
• Participates in weekly team meetings
• Member home visits as necessary
• Other duties as identified as a necessary part of employee’s role

Specific Knowledge/Skills

• Knowledge of member assessment procedure.
• Knowledge of clinical review procedures.
• Demonstrates ability to effectively communicate information with members of all ages and socioeconomic levels.
• Ability to read and interpret documents. Ability to speak effectively with members and employees of the agency.

Required Education, Experience, and Licenses:

• The appropriate background in health care and/or long term care,
• Degree in Social Work or Nursing