Case Manager
Current• Provide exceptional case management to Medicare/Medicaid members receiving waiver services through the Department of Aging and the Department of Rehabilitation.• Mentor new staff to increase individual and team performance and collaborate with the team on projects to increase productivity.• Ensure that the patient's progress to the desired outcomes with medically appropriate quality care based on the severity of the illness and the site of service.• Complete comprehensive assessments of members per regulated timelines and determine who may qualify for case management based on clinical judgment, changes in the member’s health/psychosocial wellness, and triggers. • Develop and implement case management plans in collaboration with the members, caregiver, physician, other appropriate healthcare professionals, and the members' support network to address the members' needs and goals.• Perform ongoing care plan monitoring to evaluate its effectiveness and suggest changes accordingly.