- Responsible for assisting in the successful implementation of the Home Discharge visit program and social work services.
- Provides individuals assessment and care management to members who are at high risk for preadmissions readmissions and for the members at the risk for complex hospitalizations and/or long term health management needs.
- They will provide indepth psychosocial assessment to members through home visits and develop care plan in collaboration with the post discharge visit program personnel and other contracted health care practitioners.
- In addition they will provide knowledge expertise resources that are specific to members as well as information and referrals to community resources and services; and benefits independent of product line
- The goal of Post discharge visit Program is to establish early identification and focused care coordination of high risk members at risk for readmissions and complications related to identify risk factors and to educate and facilitate appropriate services for the member.
- They will collaborate closely with the other disciplines and programs to effectively manage members to assure that appropriate levelofcare is provided to prevent member readmissions and ensure that the members medical environmental and psychosocial needs are met.
Position Details (subject to change):
- 40HR/week
- 8am5pm
- Competitive Benefits
- Rapidly growing organizations
- Bilingual (Spanish Required)
Job Type: Fulltime
Required education:
Required experience:
Required language:
Required Experience:
Manager