Integrated Care Manager

Job Details Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Bachelors Degree   Travel Percentage Daily Job Shift Daytime Job Category Professional / Experienced Description

The Integrated Care Manager (ICM) works collaboratively with the integrated care team to manage and coordinate care for a specific population of members whose needs represent high clinical and social risk in order to ensure quality and cost-effective member-centered care.

Duties and Responsibilities

Responsibilities include, but are not limited to the following :

• Practice care management within the scope of licensure.
• Utilizes care management principles and sound clinical judgment in coordinating care for a specific member population
• Performs intensive care management functions for identified individuals in order to promote quality, cost-effective outcomes, including but not limited to :
• Performing a comprehensive assessment which includes care planning activities including the development of interventions, short and long-term goals in collaboration with member, family, PCP, behavioral health professionals and other involved health care professionals and community agencies, as appropriate
• Communicate with providers to facilitate needed care
• Implements care plan, facilitates referrals, coordinates services, and resources and provides ongoing monitoring and re-evaluation of outcomes
• Continuous monitoring and evaluation of the care outcomes and identification of service gaps
• Regular review and revision of the plan of care in collaboration with the family and appropriate members of the health care team based on the outcomes and evaluative findings
• Off-site visits (such as but not limited to home, hospital or community health centers or other community agencies) as necessary or required

Completes comprehensive documentation of all activities and contacts in Care Management software system

Qualifications

Qualifications

Required :

Preferred :

Neighborhood Health Plan of Rhode Island is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.