CareSource mission
Community Based Care Manager - Reno and surrounding areas
Nevada Mobile
Sponsorship not specified$63k-$100kDetected 7 days ago
ExcelResearchLeadershipCommunicationCollaborationProblem SolvingTime ManagementMicrosoft Office
About the role
- Facilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the member
- Engage with the member in a variety of settings to establish an effective, professional relationship.
- Settings for engagement include but are not limited to hospital, provider office, community agency, member's home, telephonic or electronic communication
Responsibilities
- Develop and regularly update a person-centered individualized care plan (ICP) in collaboration with the ICT, based on member's desires, needs and preferences
- Identify and manage barriers to achievement of care plan goals
- Identify and implement effective interventions based on clinical standards and best practices
- Develop Self and Others
- Drive Execution
- We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
Requirements
- May be required to travel greater than 50% of time to perform work duties.
- Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer
- Appropriately terminate care coordination services based upon established case closure guidelines for members not enrolled in contractually required ongoing care coordination.
- Continuously assess for areas to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process
Nice to have
- Current unrestricted clinical license in state of practice as a Registered Nurse, Social Worker or Clinical Counselor is required.
- Licensure may be required in multiple states as applicable based on State requirement of the work assigned
- Case Management Certification is highly preferred
- Must have valid driver's license, vehicle and verifiable insurance.
- Employment in this position is conditional pending successful clearance of a driver's license record check and verified insurance.
- If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated.
- To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position.
- Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
Skills
- Strong understanding of Quality, HEDIS, disease management, supportive medication reconciliation and adherence
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
- Ability to communicate effectively with a diverse group of individuals
- Ability to multi-task and work independently within a team environment
- Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
- Adhere to code of ethics that aligns with professional practice
- Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
- Strong advocate for members at all levels of care
- Strong understanding and sensitivity of all cultures and demographic diversity
- Ability to interpret and implement current research findings
- Awareness of community & state support resources
- Critical listening and thinking skills
Compensation
- $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level.
- In addition to base compensation, you may qualify for a bonus tied to company and individual performance.
- Compensation Type (hourly/salary):
Benefits
- Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management
- Educate the member/ natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made
Equal opportunity
- CareSource is an Equal Opportunity Employer.
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