Community Based Care Manager-
Core
Coordinate care for dual-eligible beneficiaries (Medicare/Medicaid) by integrating health services and community resources to improve health outcomes and quality of life.
Role type
Senior IC Community Care Manager
Builds
Individualized care plans and care transitions for complex health needs
Domain
Healthcare / Social Services
Required skills
Care coordination, Case management, Interdisciplinary team collaboration, Community resource navigation, Care plan development, Chronic disease management, Data analysis, Advocacy, Assessment, Self-management education
Preferred skills
Dual-eligible population experience, Medicaid/Medicare managed care experience, Case Management Certification
Technologies
Microsoft Office (Outlook, Word, Excel)
Responsibilities
Conduct comprehensive assessments of physical, mental, and social needs; Develop and implement individualized care plans; Act as liaison between providers, community resources, and beneficiaries; Monitor health status and care plan adherence; Follow up after hospitalizations to prevent readmissions; Advocate for beneficiary needs within the healthcare system.
Seniority
Senior, hands-on IC