Job Information
Prime Care Coordination Care Manager Assistant in Webster, New York
Summary:
The Care Manager Assistant assists the Care Manager and member in reaching their optimum level of wellness, self-care management, and functional capabilities. The Care Manager Assistant supports the care management plan and other Care Management tasks. The Care Management Assistant works with the Care Manager to assess, plan, implement, and coordinate the member’s care management plan.
Essential Job Functions:
Collaborate with Care Management by assisting Care Managers with their caseload of managed care members
Under the supervision of a licensed Care Manager Supervisor, performs Care Management activities to assist in the health management of members
Review comprehensive service plans developed by Care Management
Confirm authorized services and help obtain documentation of medical necessity
Maintain clear, effective communication with Care Management
Educate members and caregivers on covered services and benefits
Conduct home visits to complete Person-Centered Service Plan review on an annual or as needed basis
Promote healthy living and injury prevention for members
Participate in enrollment activities such as monitoring potential members and obtaining enrollment signatures
Collaborate with the interdisciplinary team
Document all interactions with members
Maintain member privacy, confidentiality, health, and safety
Adhere to ethical, legal, accreditation, certification, and regulatory standards and guidelines
Demonstrate cultural competence by being respectful of and responsive to the health beliefs, practices, cultural and language needs of the member and his/her support system
Participate in Quality Assurance and Improvement activities
Perform other duties as assigned by supervisor
Knowledge, Skills, and Abilities:
Ability to work independently and motivate others
Ability to communicate effectively, both orally and in writing
Maintain all required certifications/training by State regulations and iCircle policy
High attention to detail
Education and Experience:
Bachelors of Social Work, Psychology, Human Services, or Sociology
Minimum one year in healthcare related field
Experience utilizing computer software including Microsoft Word and clinical applications
Reliable transportation (NYS Drivers’ Licensed required)
Bilingual a plus
All experience and education requirements, except when required by federal, state, or local laws or requirements, may be waived at the discretion of management with the approval of the Chief Executive Officer, in collaboration with Human Resources.
Physical Requirements/Working Conditions:
Sedentary working environment
Ability to reach above shoulder level.
Ability to turn/twist upper body.
Able to use hand repetitive action for fine manipulating, keyboarding and typing.
Corporate Qualifications/Expectations:
Adhere to all CDS Life Transitions, Inc. policies and procedures.
Adhere to the Agency Mission, Vision, Shared Values, and Customer Service Standards.
Attend mandatory education and training modules as scheduled; obtain and maintain all required certifications/training by State regulations and CDS policy
Act as a professional representative of CDS Life Transitions, Inc. regarding appearance, behavior, temperament, communication, language, and dress.
The statements herein are intended to describe the general nature and level of work being performed but are not to be seen as a complete list of responsibilities, duties, skills, required of personnel so classified. Also, they do not establish a contract for employment and are subject to change at the direction of the employer.