RN Required
Bachelor's Degree
Minimum of three years of similar level or related experience including demonstrated expertise conducting health assessments and delivering care in a clinical and community environment.
Community based experienced home based work, willing to work with members who have complex behavioral, social and medical needs
Care manager experience preferred
Familiar with Philadelphia
The primary purpose of the job is to:
As part of the Community-based Care Management program, the Care Manager collaborates broadly for the identification of members/consumers appropriate for care coordination and/or case management program services in a community setting. The Care Manager collaborates with all levels of Medical Management department staff for appropriate integration of Community Based Medical Management programs with other existing and planned initiatives, aligning with annual operating plan and strategic growth initiatives. The Care Manager provides in home environmental and physical assessments for high risk members to identify unmet needs and barriers to care and to establish a care management plan of care. The Care manager may provide basic clinical care within scope of practice (RN, SW) in collaboration with members medical management team. Establishes point of contacts in collaboration with member community medical/behavioral health teams. Works closely with and directs and supervises the work of Community Care Connectors as they deliver in-community care, support pathways to establish connections to appropriate services and provide coaching and education for chronic disease management. May serve as a program subject matter expert and/or assist the Community Care Program Manager with operational responsibilities
Ability to travel extensively within assigned communities. Valid driver's license required