[Hiring] Care Manager @CenterLight Health System

Role Description

Responsible for overall care management and quality of care for participants. Uses specialized discipline-specific knowledge to review assessments of field staff and coordinate a holistic care plan that addresses all domains of care.

Provides care coordination in a manner that is sensitive to age, gender, sexual orientation, cultural, linguistic, racial, ethnic, religious backgrounds, and congenital or acquired disabilities.

• Participates and represents his/her discipline in the care planning meetings or as necessary.
• Reviews all discipline-specific documentation for quality and addresses any deficiencies with the field staff following disciplinary steps established by the Discipline Policy.
• Monitors how field staff is documenting all interventions with the participants and addresses/documents any issues observed with the employee.
• Conducts coaching sessions with field staff as needed.
• Communicates with the discipline-specific field staff regularly to coordinate a continuum of care consistent with the Member’s health care needs and goals.
• Arranges, coordinates, and authorizes the provisions of appropriate services to meet identified member-specific needs.
• Implements specific care management activities and interventions that lead to accomplishing the participant’s goals.
• Provides care management services across sites and collaborates with appropriate team members, facility, discharge planner, and home care coordinator when members are transitioned between care settings.
• Documents services in accordance with CLHC standards and federal/state regulations.
• Coordinates, facilitates, and arranges for long-term care services in nursing homes, rehab facilities, etc. as needed.
• Collaborates with PCP and other Specialty physicians and specialty-based services regarding any changes in participant’s condition.
• Provides or arranges for ongoing Skilled services, service authorization, and periodic assessment reassessment and evaluation of services.
• Monitors care management activities, services, and members’ responses to interventions to determine the effectiveness of the plan of care.
• Evaluates the effectiveness of the plan of care in reaching desired goals and outcomes.
• Fiscally responsible for providing services based on members’ needs.
• Maintains up-to-date knowledge about current health-related issues, procedures, evidence-based clinical practice guidelines, medications, and impacting health and practice standards.
• Conducts competencies and training sessions with field staff as needed.
• Recommends and contributes to improvements in services, programs, policies, and procedures to ensure optimum care and services to members.
• Follows the organization’s policies regarding disciplinary action.
• Acts within the scope of the individual’s authority to practice.
• Meets a standardized set of competencies for the specific position description established by the PACE organization before working independently.
• Acts as a member of the IDT.
• All other duties as assigned.

Schedule: 8:30AM – 5:00PM

Weekly Hours: 37.5

Location: Remote (within 2 hrs commute range)

Qualifications

• Baccalaureate degree in nutrition or related field; Master's degree in Nutrition preferred.
• Minimum of two (2) years of administrative experience in a management capacity in a certified home health agency (CHHA), long-term home health care (LHCSA), acute care, medical-surgical, and/or critical care, nursing home experience, diagnostic & treatment clinic preferred.
• Customer Service experience required.
• Managed long-term care insurance experience beneficial.
• Legally authorized to practice in the State in which the healthcare professional will perform the function.
• Minimum of one (1) year of experience working with a frail or elderly population or appropriate training from the PACE organization upon hiring.
• Supervisory experience preferred.
• Current active and unrestricted license and registration in specialty in New York State required.

Requirements

• Legally authorized to practice in the State in which the healthcare professional will perform the function.
• Medically cleared for communicable diseases and have all immunizations up-to-date before engaging in direct participant contact.
• Bilingual preferred.

Physical Requirements

• Standing – Duration of up to 6 hours a day.
• Sitting/Stationary positions – Sedentary position in duration of up to 6-8 hours a day for consecutive hours/periods.
• Lifting/Push/Pull – Up to 50 pounds of equipment, baggage, supplies, and ability to lift patients safely.
• Bending/Squatting – Must be able to safely bend or squat to care for patients.
• Stairs/Steps/Walking/Climbing – Must be able to safely maneuver stairs and walk to access work areas.
• Agility/Fine Motor Skills – Must demonstrate agility and fine motor skills to operate and activate equipment.
• Sight/Visual Requirements – Must be able to visually assess patients and read documentation accurately.
• Audio Hearing and Motor Skills Requirements – Must be able to listen attentively and document information accurately.
• Cognitive Ability – Must demonstrate good decision-making and cognitive ability.

Disclaimer

Responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of the company.

We are an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, height, weight, or genetic information.

Salary Range (Min-Max): $88,000.00 - $98,000.00

CenterLight Healthcare System currently hires employees in states where we are registered to do business. At this time we are able to consider candidates residing in the following states:

• Alabama
• California
• Colorado
• Connecticut
• Florida
• Georgia
• Illinois
• Louisiana
• Massachusetts
• New Jersey
• New York
• North Carolina
• Ohio
• Oklahoma
• Oregon
• Pennsylvania
• Puerto Rico
• South Carolina
• Texas
• Utah
• Virginia
• Wisconsin