Saviance · 5 hours ago
Case Manager I
Columbus, OH
Full-time
Hybrid
Entry Level
1+ years expSaviance is a company focused on healthcare management, and they are seeking a Case Manager I to coordinate care for Molina Healthcare members. The role involves assessing member needs, developing care plans, and ensuring compliance with policies and regulations while promoting continuity of care.
Information Technology & Services
Responsibilities
Telephonic and/or visit with members receiving home care services; assessment of needs and authorization of appropriate services, creation /maintenance of member's care plan; monitoring of services
Proactively identifies members that may qualify for potential case management services
Conducts assessment of member needs by collecting in-depth information from Molina’s information system, the member, member’s family/caregiver, hospital staff, physicians and other providers
Identifies, assesses and manages members per established criteria
Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals to address the member needs
Performs ongoing monitoring of the plan of care to evaluate effectiveness
Documents care plan progress in Molina’s information system
Evaluates effectiveness of the care plan and modifies as appropriate to reach optimal outcomes
Measures the effectiveness of interventions to determine case management outcomes
Promotes integration of services for members including behavioral health and long term care to enhance the continuity of care for Molina members
Conducts face to face or home visits as required
Maintains department productivity and quality measures
Manages and completes assigned work plan objectives and projects in a timely manner
Demonstrates dependability and reliability
Maintains effective team member relations
Adheres to all documentation guidelines
Attends regular staff meetings
Participates in Interdisciplinary Care Team (ICT) meetings
Assists orientation and mentoring of new team members as appropriate
Maintains professional relationships with provider community and internal and external customers
Conducts self in a professional manner at all times
Maintains cooperative and effective workplace relationships and adheres to company Code of Conduct
Participates in appropriate case management conferences to continue to enhance skills/abilities and promote professional growth
Complies with required workplace safety standards
Qualification
Required
RN, LSW, or LISW licensure is required
Must be licensed in OHIO
Min. of 1 year case management or managed care
1 year working with persons with chronic conditions and home care supports
Bachelor's degree in Nursing or Masters degree in Social Work, or Health Education (a combination of experience and education will be considered in lieu of degree)
0-2 years of clinical experience with case management experience
Active, unrestricted State Registered Nursing license or Licensed Clinical Social Worker LCSW or Advanced Practice Social Worker APSW in good standing
Must have valid driver's license with good driving record and be able to drive locally
Company
Saviance
Saviance is a modern consulting firm providing a variety of professional services to its clients in the US.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Rohit M.
Managing Partner
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