Case Manager

Job Title : Case Manager

Location : Clark County, OH (Hybrid)

Duration : 3 Months+ contract (Possible Extension)

Pay Rate : $41.29 / Hour. on W2

Shift : 8 am – 5 pm Monday - Friday

Job Summary :

• Provides case management services to members with chronic or complex conditions including :
• Proactively identifies members that may qualify for potential case management services.
• Conducts assessment of member needs by collecting in-depth information from Clients information system, the member, members 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 Clients 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 Client 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.
• 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. Knowledge / Skills / Abilities : Demonstrated ability to communicate, problem solve, and work effectively with people.
• Excellent organizational skill with the ability to manage multiple priorities. Work independently and handle multiple projects simultaneously.
• Familiarity with NCQA standards, state / federal regulations and measurement techniques.
• In depth knowledge of CCA and / or other Case Management tools.
• Ability to take initiative and see tasks to completion.
• Computer skills and experience with Microsoft Office Products. Excellent verbal and written communication skills.
• Ability to abide by Clients policies.
• Able to maintain regular attendance based upon agreed schedule.
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
• Skilled at establishing and maintaining positive and effective work relationships with coworkers, clients, members, providers and customers.