Case Manager (PhysicalOccupational Therapy)

WHO WE ARE

NeueHealth is a value-driven healthcare company grounded in the belief that all health consumers are entitled to high-quality coordinated care. By uniquely aligning the interests of health consumers providers and payors we help to make healthcare accessible and affordable to all populations across the ACA Marketplace Medicare and Medicaid.

NeueHealth delivers clinical care to health consumers through our owned clinics Centrum Health and Premier Medical as well as unique partnerships with affiliated providers across the country. We also enable providers to succeed in performance-based arrangements through a suite of technology and services scaled centrally and deployed locally. Through our value-driven consumer-centric approach we are committed to transforming healthcare and creating a better care experience for all.

• Collect relevant clinical data to support the care planning process.
• Provide care plan support intervention and prioritization to transition members tooptimallevels of health and self-management.
• Participate in interdisciplinary team meetings asrequired.
• Collaborate across providers and healthcare settings to ensureoptimalquality outcomes for an assigned population.
• Provide transition of care interventions asrequired.
• Facilitate care coordination self-management planning discharge planning and health education for an assigned population.
• Facilitate linkage toappropriate communityresources to address social determinants of health.
• Adjudicatereferrals and apply evidence-based clinical criteria to coordinate member care needs across all care settings.
• Ensure member communication and notices are composed in a manner consistent with regulatory standards.
• Adheres to the Policies and Procedures set forth by the Quality Management Committee and performs alladditionalduties as assigned.

• Diploma from a PT/PTA program accredited by the Commission on Accreditation in Physical Therapy Education (CAPTE) or from an OT/COTA program accredited by the Accreditation Council for Occupational Therapy Education.
• Active Physical Therapist/Physical Therapist Assistant or Occupational Therapist/Occupational Therapist Assistant license in Florida.
• Minimum 2 years of experience in medical management clinical functions.
• Working knowledge of FIMS and NCQA standards

• High levelof critical thinking and problem-solving skills
• Strong work ethic and overall positive attitude
• Effective communication skills including verbal and written.
• Ability to manage time effectively understand directions and work independently in a fast-paced environment.
• Demonstrated flexibility organization and self-motivation.
• Highly adaptable to change.