Care Manager
There are two openings for this position- one at our 3 Mile clinic in Logan, WV and one at our Chattaroy clinic in Mingo County, WV.
POSITION PURPOSE:
This position provides care management services utilizing an integrated healthcare model to children, adolescents, adults and families in order to improve physical health and psychosocial functioning. The ideal candidate must enjoy being part of an integrated healthcare team working in a face paced, primary care setting and must possess great communication and collaboration skills.
Responsibilities for Quality Assurance/Quality Improvement:
- Gather information related to federal quality measures and document within the Electronic Health Record (EHR) as directed by Director of QI/QA to track improvement in patient care and service delivery.
- Execute quality improvement testing and activities when and as directed.
- Adhere to industry quality and safety standards.
- Provide feedback regarding patient expectations and service demand.
- Work closely with the QI/QA Team to improve service delivery and patient satisfaction.
- Strictly adhere to established standards for reliability and performance of qualitative and quantitative measures embedded within service delivery.
Job Duties/Responsibilities:
- Conducts patient interviews and assessments to obtain information pertinent to move forward with care and treatment.
- Identifies high risk factors, barriers to goals, personal strengths, and social supports that will improve overall health and wellbeing.
- Electronically maintains files and reports and/or assessments that are clear, accurate, and based on comprehensive data collection within and Electronic Healthcare Record (EHR).
- Develops a comprehensive Care Management Plan that addresses all pertinent areas of a holistic assessment.
- Conducts timely reviews of Care Management Plans with or for the patient and re-evaluates and modifies the plan based on current status.
- Ability to understand and support implementation of clinical pathways and protocols for treatment of selected chronic conditions.
- Assesses and assures quality of services by gathering information from direct observation and communication from all resources involved in the patient Care Management Plan.
- Serves as primary Point of Contact for the patient.
- Identifies both private and community resources and incorporates them into the Care Management Plan.
- Participates in activities related to addressing the Social Determinants of Health for both the patient and community such as assessing community strengths, advocating for needs of individuals and families, and assisting with community organizing efforts to address population needs.
- Arranges and managers referral appointments, provides directives, ensures transportation, and facilitates patient compliance before and after referrals.
- Monitors the quality and effectiveness of outside resources during utilization by the patient and provides feedback to the Integrated Care Team and Community Engagement Specialist Program (CES).
- Participate in Quality Improvement (QI), Quality Assurance (QA) and Continuous Quality Improvement activities (CQI) as appropriate.
- Works as a team player with other professional Care Managers as well as administrative staff.
- Ensure efficient exchange of information as needed.
MINIMUM QUALIFICATIONS:
Education & Experience:
- Associate Degree in a field related to care management (psychology, social work, nursing, mental health/counseling), RN diploma or Licensed RN
- At least 2 years of care management/patient care experience
- 1 year direct experience with patients in fields such as social services, nursing, mental health/counseling, or care management