Ambulatory Care Manager
il y a 2 semaines
Overview
Facilitates the management of illness and health promotion. Provides assessment, information and referral, advocacy services, and other resource assistance to patients directly or through consultation. Manages a panel of moderate to high complexity patients for longitudinal Care Management.
Responsibilities
- Manages and coordinates interdisciplinary care of defined populations through the care continuum from wellness through end of life from a psychological, social and environmental perspective.
- Partners with RN Care Managers for the management of patients with medical and social needs and barriers.
- Identifies high risk patients requiring on-going coordination of care; performs a comprehensive patient/family assessment, develops a comprehensive treatment plan that will span the continuum of psychosocial issues, implements a plan of care to provide continuing support and coordination for patient/family with multiple complex system needs
- Utilizes innovative strategies to advocate for patient needs and negotiates complex systems to remove barriers and limitations in accessing health care in regards to psychological, social and environmental areas.
- Monitors the patient's transition across care settings
- Participates in the development, maintenance, and coordination of an interdisciplinary care delivery system specific to individual patient needs and promotes effective resource utilization.
- Provides complete psychosocial assessments of patients and families.
- Coordinates community resources to address/meet identified needs.
- Other duties as needed
Qualifications
- Master's Degree in Social Work (MSW) with at least one year of experience required.
- CCM or other Care/Case Manager certification within 2 years of hire
- Critical thinking skills, strong leadership, and communication abilities.
- Understanding of and comfort using computers desired.
- At least 3 years of experience working in a Care Manager role preferred
- Collaborative team player; use of systems approach in planning, problem solving and decision making; creativity, innovation, autonomy, flexibility, receptiveness to change, and a commitment to professional growth desired.
Required Licensure/Certifications
- Certified Case Manager (CCM-CCMC) OR Certified Accredited Case Manager (ACM) within 2 years
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