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CareSource · 1 day ago

Community Based Care Manager I - Indiana

Indiana Mobile

Full-time

Hybrid

Mid Level

3+ years exp

CareSource is a healthcare organization that collaborates with an interdisciplinary care team to improve the lives of its members. The Community Based Care Manager I role focuses on coordinating care, facilitating transitions, and empowering members to manage their health through effective interventions and community resource education.

Health CareMedicalNon Profit

Comp. & Benefits

Responsibilities

Collaborate with facility-based case managers and providers to create post-discharge care plans and facilitate timely transitions to appropriate levels of care

Identify and implement effective interventions based on opportunities identified in the member's post discharge care plan

Coordinate, communicate, and collaborate with members and the ICT to achieve goals and maximize positive outcomes

Facilitate regularly scheduled interdisciplinary care team (ICT) meetings as needed to address member needs

Develop and regularly update transition plans in collaboration with the ICT, based on member preferences and needs

Identify and manage barriers to achieving care plan goals

Identify and implement effective interventions based on opportunities identified in the member's post discharge care plan

Empower members to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management

Educate members, caregivers and providers about options, community resources, and benefits for informed decision-making

Evaluate member and provider satisfaction through open communication and monitoring of concerns or issues

Coordinate with community-based case managers and other service providers to ensure effective coordination and avoid duplication of services

Document care coordination activities and member responses in a timely manner according to professional standards and CareSource policies

Ensure timely transfer of member health information between providers and other MCEs as applicable

Ensure timely communication of prior authorization between MCEs as applicable

Continuously assess for process improvement opportunities to enhance the member and provider experience

Adhere to NCQA and CMSA standards

Perform any other job related duties as requested

Qualification

Licensed Practical NurseHealthcare experienceCare coordinationMicrosoft OfficeHealthcare lawsCultural sensitivityCommunication skillsOrganizational skillsProblem-solving skills

Required

High School or GED required

Completion of State Approved Licensed Practical Nurse Program required

Three (3) years of experience in a healthcare field (i.e., discharge planning, case management, care coordination and/or home/community health management experience) required

Current, unrestricted license as a Licensed Practical Nurse (LPN) required

Must have valid driver's license, vehicle and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in this position will be terminated

To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 – March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified