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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Our Company
ResCare Community Living
Overview
Work in conjunction with the Care Manager to deliver to deliver integrated whole-person care management addressing a members physical health behavioral health intellectual/developmental disability (I/DD) traumatic brain injury (TBI) long-term services and supports (LTSS) and/or pharmacy needs in addition to unmet health-related resource needs. Provide services in accordance with care management service requirements set by the state and company.
Responsibilities
- Supports Care Managers in delivering care management
- Engages the member /family/guardian with professionalism compassion and purpose through telephonic and virtual methods and in-home visits as required. Interactions should be concise respectful in a language of his/her choice and non-judgmental
- Establishes a professional rapport with all team members stakeholders peers and supervisors
- Initiates the first contact with the member/family/guardian to complete the Preliminary Questionnaire
- Communicates with the Case Manager any information pertaining to the care and well-being of the member/family/guardian
- Provides documentation of billable events that align with minimum contact expectations to the Care Manager
- Maintains an accurate up-to-date electronic information data stream on all interactions encounters activities and communications with the member/family/guardian
- Performs general outreach engagement and follow up with members to encourage accomplishment of goals set in the Plan/ISP
- Coordinates services/appointments
- Engages in health promotion activities and knowledge sharing
- Shares information with the Care Manager and other members of the care team on the members circumstances
- Provides and tracks referrals and provides information and assistance in obtaining and maintaining community-based resources and social support services
- Participates in case conferences and planning meetings
- Supports the Care Manager in Identifying and addressing barriers to services gaps in service and unmet health-related needs proactively expanding relationships and linkages to aid in meeting members needs
- Provides services that meet national state and local healthcare standards at the highest level
- Reports issues of concern general departmental activities and staffing needs to the Care Manager
- Completes all required training and participates in educational sessions to improve overall skills
- Attends industry meetings training and functions to promote positive relationships with stakeholders
- Participates in quality improvement and measurement activities to achieve identified targets and outcomes
- Completes other duties as assigned
Qualifications
- At least 18 years old
- High School Diploma or G.E.D. equivalent; trained in Tailored Care Management preferred
- One to two years of experience in Customer Service and/or working in a Health Care environment as a CNA or home care setting is preferred
- Experience with an I/DD or a TBI with demonstrated knowledge of and direct personal experience navigating the North Carolina Medicaid delivery system; or a parent or guardian of an individual with an I/DD or a TBI and has at least two years of direct experience providing care for and navigating the Medicaid delivery system on behalf of that individual (parent/guardian cannot serve as an extender for their family member); or has two years of paid experience performing functions in this job description with at least one year of paid experience working directly with the Tailored Care Management eligible population
- Ability to perform work with a high degree of quality and autonomy
About our Line of Business
Salary Range
Employment Type
Full-Time
