Care Manager

Position Title: Care Manager

Work Location: Remote-FL

Assignment Duration: 3 months

Work Schedule: M-F 8-5 EST, No OT approved

Work Arrangement: Remote

Position Summary:

Our team focuses on enhancing the quality of services we provide to our members while also reaching as many members as possible. This team has an extremely high volume of referrals for members needing care management. This role will directly impact the goals listed below by driving member to use healthcare services appropriately and guiding them towards supports in the community.

Background & Context:

1. Prevent admissions/reduce readmissions
2. Close care gaps via encouraging member to get annual screenings, checkups, and adhere to suggested treatment and/or medication regimens.

Key Responsibilities:

* Maintaining an active caseload of about 73 Behavioral Health Complex members at a time.

* Outreaching member, primary care physician and outpatient providers on a biweekly basis

* Initiating appropriate assessment using our internal EMR system

* Creating a Care plan tailored to the member's needs.

* Updating Medications, diagnosis, and allergies in our EMR system on a minimum of a monthly basis.

* Reviewing care gaps and offer education and resources in efforts to close those care gaps.

* Connecting member to providers and resources in the community.

* Attending scheduled community staffings and treatment teams as well as partnering with community agencies.

* Staff complex members as needed with internal medical directors and clinical staff.

Qualification & Experience: