At Home Care Hospice · 2 months ago
Care Manager-Quality Assurance
US-NC-CHARLOTTE
Full-time
Onsite
Entry, Mid Level
2+ years expAt Home Care Hospice is part of ResCare Community Living, which has extensive experience in the disability services field. The Care Manager-Quality Assurance role involves working with clinical teams to develop and monitor care plans for individuals receiving management services, ensuring their health needs are met through comprehensive assessments and community resources.
Health CareWellness
Responsibilities
Develops positive relationships among and between members, family/guardians, Extenders, clinical and care team members and other community stakeholders to create an environment of compassion and professionalism, driving toward positive health and quality of life outcomes
Responds proactively to alerts from Extenders concerning unmet health-related needs and identified barriers and gaps to reduce adverse health and quality of life indicators
Develops positive relationships with all funding sources that exhibits the willingness to obtain common objectives related to care management
Engages the member/family/guardian to establish rapport and provide required and as needed contact, ensuring service provision is up to date and follow through is completed
In conjunction with the member, selects members for the care team (adjusting as needed)
Conducts the Comprehensive Health Assessment on the member, with stakeholder input, to obtain baseline information needed to formulate a care plan
Coordinates, schedules, sets the agenda for and assists the member in chairing care team meetings (times, dates, locations, etc.) and informs all team members
Develops, implements, reassesses, oversees the implementation of and evaluates the Care Plan/ISP for the member to ensure that the members health needs are addressed in a comprehensive, holistic, and preventive manner, with quality as a goal
Manages care transitions and transition plans
Ensures medication monitoring and reconciliation occur
Monitors/implements/supervises delivery of service plans and personal futures plan and training of staff
Documents all information gathered/received electronically in a timely manner
Provides documentation of billable events that align with minimum contact expectations to the Care Management Supervisor
Maintains an accurate, up-to-date electronic information data stream on all interactions, encounters, activities, care team meetings, and communications with the member/family/guardian
Promotes and coordinates comprehensive care among medical, pharmaceutical, psychosocial, social, mental, physical, home health, ancillary providers, and other community agencies, supporting individuals with referrals as needed
Connects members with medical, mental, developmental, psychosocial, housing, transportation, home health, and community support services/systems to achieve a comprehensive, holistic, preventive approach
Empowers the member/family/guardian and other team members with knowledge that aids in implementing the care plan, treatment plan, medication regimen, and appointment keeping
Identifies barriers, gaps, and unmet health-related needs are addresses them proactively, expanding relationships and linkages to aid in meeting member’s needs
Supervises up to two FTEs of care management extenders
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 Management Supervisor
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
Qualification
Required
Two years of experience as a Care Manager, Case Manager, or Care Coordinator preferred
Ability to perform work with a high degree of quality and autonomy
Must meet all agency requirements for pre-employment and those required by the state of NC
A license, provisional license, certificate, registration, or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing who also has four years of full-time accumulated experience with the IDD population
A Master's degree in a human service field and one year of full-time, post-graduate degree accumulated experience with the IDD population
A bachelor's degree in a human service field and two years of full-time, post-bachelor's degree accumulated experience with the IDD population
A bachelor's degree in a field other than human services and four years of full-time, post-bachelor's degree accumulated experience with the IDD population
For care managers serving members with LTSS needs: two years of prior LTSS and/or HCBS coordination, care delivery monitoring, and care management experience, in addition to the requirements cited above
Company
At Home Care Hospice
AT Home Care is owned and operated by caring individuals with over 40 years of Health Care and Clinical expertise, and is the largest independent home health care agency in Virginia.
51-200 employees
Funding
Current Stage
Growth StageCompany data provided by crunchbase