– a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion  in a non-profit, mission-driven organization that’s known for the highest level of care in our communities

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Acts as a liaison between members and home and community-based service providers to facilitate quality and cost-effective care and outcomes.
• Provides education and support to members and their families regarding community resources and services.
• Develop effective, collaborative relationships with key stakeholders including primary care providers, managed care plan providers, home and community-based service providers (HCBS), formal/informal caregivers and families.
• Maintains regular communication with members through phone calls and home visits to monitor their wellbeing and adjust careplans as needed.
• Records and documents interventions and member information completely and accurately, in accordance with payer and organization guidelines.
• Collaborates and communicates with internal team members, including Central Intake and Assessment Team members, to ensure continuity of care for assigned members.
• Identifies and resolves care plan variances, including barriers to primary and specialized medical care, to ensure effectiveness of member’s careplan.
• Assesses and addresses member engagement and behavior to support optimal health and functional status.
• Participates in after-hours on-call rotation requirements, as assigned.
• Maintains and monitors quality of services through collaboration with the Quality Assurance and Education Team and Care Management Director. Participating in Community Outreach as outlined in Quarterly Outreach plan.

MINIMUM QUALIFICATIONS

• Bachelor’s degree in social work or related human services field is required with 2 years of work experience
• Experience in social work, home and community-based services, healthcare or geriatrics preferred.

EEO / M / F / D / V / Drug Free Workplace

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