Care Manager
Company: Leake and Watts Services
Location: Bronx
Posted on: August 3, 2022
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Job Description:
Care Management is a service model whereby all an individual's
caregivers communicate and interface so that the patient's needs
are addressed in a comprehensive manner. This is done primarily
through a "care manager" who oversees and provides access to all of
the services an individual need to assure that they received
everything necessary to prevent hospitalizations, stay healthy, and
maintain stability.The Care Manager is ultimately responsible for
the overall provisions and coordination of services to assigned
caseload. The Care Manager guides program enrollees and their
caretakers (legal guardians) through the health care system by
assisting with access issues, developing relationship with service
providers, and tracking interventions and outcomes. --- Obtains
required Care Management enrollment consent from the individual or
legal guardian.--- Completes initial and on-going needs assessments
(Child and Adolescent Needs and Strengths: CANS) to determine the
individual's most appropriate level of care management.---
Responsible for the overall management of the patient's
Individualized Plan of Care. Through the creation of an Individual
Plan of Care the Care Manager can:A. Coordinate the enrollee's
provision of services including as per their acuity level.B.
Support adherence to treatment recommendationsC. Monitor and
evaluate a patient's needs, including prevention, wellness,
medical, mental health, care transitions, and social and community
services where appropriate.--- Meets client contact requirements
(keeping in mind that caseloads may be "blended"):A. Care Managers
serving children will be required to have some face-face visits on
a consistent schedule as per the mandates of their acuity level
(high, medium, or low)--- Meets Care Management documentation
requirements in a timely and accurate manner by effectively
utilizing designated Care Management Portal (Medicaid Analytics
Performance Portal: MAPP) and Electronic Health Records (EHR's) as
needed--- Functions as an advocate for clients within the agency
and with external service providers--- Promotes wellness and
prevention by linking enrollees with resources and services based
on their individual needs and preferences --- Educate the
child/caregiver on care of chronic conditions, immunizations,
screening and other preventive interventions --- Help clients
obtain and maintain public benefits necessary to gain health care
services, including Medicaid and cash assistance eligibility,
Social Security, SNAP, housing, legal services, employment and
training supports, and others.--- Effectively communicates and
shares information with the individual and their families and other
caregivers with appropriate consideration for language, literacy
and cultural preferences. --- Conducts care planning
meetings/conference and serves as an interdisciplinary team member
to effectively provide/coordinate comprehensive and holistic care
--- Identifies available community-based resources and actively
manages appropriate referrals, access, engagement, follow-up and
coordination of services --- In the even to hospital admissions,
actively engages in the discharge planning process ensuring that
the patient has all recommended post discharge services in place
prior to discharge --- Attends and participates in ongoing staff
development trainings to enhance skills needed to effectively meet
the demands of the Care Manager position --- Ensure that child has
periodic evaluations and follow up treatment for dental, vision and
hearing care, following Medicaid EPSDT Early and Periodic
Screening, Diagnosis and Treatment guidelines. --- All other
duties, as needed, to meet CCFHH regulations/guidelines and Rising
Ground policies. Education and/or credential requirements are
determined by children's acuity level by one of more of the
following:--- Associate Degree with two years' experience---
Bachelor of Arts or Science with two years' experience---
Registered Nurse and/or Licensed Practical Nurse with two years'
experience--- A Master's Degree in related field (Licensed
Preferred) --- Registered Nurse and/or Licensed Practical Nurse
with two years' experience--- A Master's Degree in related field
(License preferred) Job ID: 2022-2152 External Company Name: Rising
Ground, Inc External Company URL:
https://careers-risingground.icims.com/jobs/intro?hashed=-435649342
Street: 424 E. 147th Street
Keywords: Leake and Watts Services, New Rochelle , Care Manager, Executive , Bronx, New York
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