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Outpatient Case Manager

Alura Workforce Solutions

This is a Contract position in Manassas, VA posted November 19, 2021.

Position Outpatient Case Manager Description Under the supervision of the Case Management Program Manager, the Outpatient Case Manager is responsible for intake and providing case management services for members with chronic medical conditions, and /or social-economic and mental health co-morbidities.

The Outpatient Case Manager is to assist these members to achieve optimal health and/or independence in self-managing their care.

Familiar with MCG and Medicare Guidelines.

Duties 1.

Conducts health risk assessments including, but not limited to physical, functional, social, psychological, environmental, learning, and financial needs of the member.

2.

Identify problems, goals and interventions to meet member’s needs, including prioritized goals that are preferred by member and caregiver.

3.

Create individualized care plan with member, caregiver, and member’s PCP to include short/long term goals and interventions.

4.

Provide appropriate interventions which demonstrate knowledge and sensitivity toward cultural diversity and religious, developmental, health literacy, and educational backgrounds of the population served.

Use interpreter services as needed.

5.

Evaluate member’s progress toward goal achievement, including identification and evaluation of barriers to meeting member’s needs.

Reassess for changes in goals and /or health status.

6.

Conduct ICT meeting to communicate with PCP and member of the interdisciplinary care team about the care plan and member’s status.

7.

Act as a member advocate and assist with problem solving and addressing any barriers to care needs.

8.

Coordinate and refer to appropriate community resources; facilitate access and communication when multiple services are involved.

Requirements Minimum 1 year care manager experience and 1-year managed care experience Familiarity with Medi-Cal and Medicare guidelines Active/Current, Unrestricted LVN or RN CA license from an accredited school of nursing Additional Information Full Time, Monday Friday