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.