LTSS Care Manager (5K sign on bonus)
Company: Carolina Complete Health
Location: Wilmington
Posted on: April 8, 2021
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Job Description:
Transforming the health of our community, one person at a
time.Were Carolina Complete Health, a subsidiary of Centene
Corporation, and were on a mission to impact the health of our
communities by making healthcare accessible to everyone. As a
diversified, multi-national Fortune 50 and rapidly growing
organization, our mission is fueled by exceptional talent. We need
people driven to make a difference. People like you. People who
could change everything for over 25 million people.Join our family
today and take advantage of our generous benefits:* $5,000 sign-on
bonus* Comprehensive insurance coverage* Tuition reimbursementAbout
You:You are a highly collaborative, strategic risk-taker driven to
make a difference and change the face of healthcare. You thrive in
a supportive, result-oriented community and are committed to the
relentless pursuit of continuous growth. Delivering patient-focused
care while making a real impact is important to you it is what sets
you apart!About Us:We are revolutionizing the world of healthcare
through digital transformation and building world-class healthcare
solutions. Our high caliber teams deliver relevant solutions at the
local level and use collective innovation to turn visions into
action and challenge what is possible.Centene is an industry leader
with a local focus and a global vision:* Listed on Fortune
magazines Worlds Most Admired Companies List for 2ndconsecutive
year* National footprint across all 50 states, serving 1 in 15
individuals in the U.S.* Recognized as one of the Best Places to
Work by the Human Rights Campaign FoundationAs a LTSS Care Manager
you will:This licensed professional will be responsible for the
oversight and coordination of long term support services / long
term care for special (higher acuity) populations residing in the
community and/or skilled nursing facilities. Examples include but
are not limited to: individuals with 2 or more, higher risk medical
or behavioral health conditions (e.g., COPD and Schizophrenia).
This position assumes a leadership role with internal and external
partners to achieve optimal health care outcomes for the member
through effective coordination of care activities.* Provides care
coordination and care management and oversees higher acuity
long-term support services / long-term care members. (i.e.
individuals with complex medical or behavioral health issues that
place populations at greater risk for potentially prevent able
events such as avoidable admissions, readmissions, and emergency
room visits).* Manages an active caseload based on state mandated
ratios according to residential setting, case intensity and
acuity.* Partners effectively with the PCP, Specialist, member,
members family and interdisciplinary care teams (ICT) to develop a
Person Centered Care Plan.* Utilizes clinical knowledge and
expertise to craft strategies aimed at member education to support
self-management and achieve optimal health outcomes.* In
partnership with the member, family, physician(s), ICT and other
providers, assesses short and long-term member needs, evaluates the
need for supportive e services and establishes member driven care
management objectives.* Responsible for coordination of service
authorizations (i.e. meals, transportation, activities of daily
living).* Performs clinical interventions such as education on
prescribed medication treatment regimens and counseling.* Ensures
comprehensive assessments and person-centered care plans are
completed within required time frames and utilizes clinical
knowledge and expertise to assess options for care including use of
benefits and community resources.* Acts as liaison and member
advocate between the member/family, physician and
facilities/agencies.* Maintains accurate reports and manages the
integrity of care management activities in the electronic care
management system, using clinical guidelines.* Educates on and
coordinates community resources, to include medical, behavioral and
social services.* Applies care management standards and maintains
HIPAA standards and confidentiality of protected health
information.* Ensures compliance with all state and federal
regulations and guidelines in day-to-day activities.* Participates
in performance improvement activities.* Performs special projects
as assigned.Additionally you will bring:* Associates degree in
Nursing OR Bachelors degree in social work, sociology, psychology,
gerontology, or a related social services field ORMasters degree in
social work, sociology, psychology, gerontology, or a related
social services field* Two (2) years of prior Long term support
servicesand/or Home & community based servicecoordination, care
delivery monitoring and care management experience;* Must reside in
North CarolinaOne of the following licenses is required(must be
licensed in the state of practice):* Registered Nurse (RN)*
Licensed Certified Social Worker (LCSW)Centene is an equal
opportunity employer that is committed to diversity, and values the
ways in which we are different. All qualified applicants will
receive consideration for employment without regard to race, color,
religion, sex, sexual orientation, gender identity, national
origin, disability, veteran status, or other characteristic
protected by applicable law.by Jobble
Keywords: Carolina Complete Health, Wilmington , LTSS Care Manager (5K sign on bonus), Executive , Wilmington, North Carolina
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