idd care manager resume
Verifies that beneficiary meets ECHO criteria. This includes understanding and engaging in key local and national, health care issues/strategies, customer issues/trends and best practices to establish credibility beyond product and therapeutic areas, Take an active leadership role with NICMs to ensure the development and pull through of Strategic Account plans consistent with achieving regional and corporate goals, Cultivate effective relationships with Key C-Suite and administrative roles within an account (CEO, CFO, CMO, Pharmacy Director, Medical Director, Case Management, Dir. It’s actually very simple. With the right training and a good resume, this can be a rewarding career. Excellent assessment and triage skills Ability to manage complex clinical issues utilizing assessment skills and protocols Ability to affect change, work as a productive and effective team member, to be flexible, and adapt to needs/priorities Demonstrates customer focused interpersonal skills to interact in an effective manner with practitioners, the interdisciplinary health care team, community agencies, patients, and families with diverse opinions, values, and religious and cultural ideals. The key to creating a case manager resume that packs a punch is being able to communicate all of your skills and qualifications. 225 Idd Care Coordinator jobs available on Indeed.com. Collaborates with the patient/family, hospital team, primary care team, specialists, SCHN Medical Director, Extended Care Case Managers, Social Workers, Wellness Coordinators and other Steward Health Care Network programs, community services, and other members of the health care team to ensure safe transitions of care, effective coordination of services, and full understanding and execution of the care plan, Actively reviews available reports, considers care management (CM) impact; recommends and makes modifications to the plan of care, as needed, Maintains required medical documentation for case management activities in the system's care management module (electronic medical records), according to the standards of work, Meets regularly with each direct report individually to review cases and provide coaching and mentoring; conducts regular staff meetings, Identifies staffing needs to support the organization and develops staffing strategies to ensure appropriate coverage to meet daily and unexpected requirements, Follows standards of work and consistently maintains department established caseloads and timeframes for case completion. Interacted with clinical staff and external resources such as school or community personnel. Social work case managers help make sure that individuals and families get … ), required, Ability to communicate well and effectively interact with team members and patients. Managed care and state specific expertise and knowledge of community resources experience preferred, Completes UAS and other relevant screening and assessment tools in the member's home, Develops, implements and monitors the care plan, assisting members in obtaining reasonable accommodations when appropriate, As the lead of the interdisciplinary team, facilitates the activities and communication within an interdisciplinary team of providers, vendors, facilities, discharge planners, field nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings, Maintains timely, complete and accurate documentation using both hard copy and technology based solutions in compliance with regulatory policies and procedures, Monitors inpatient and intermediate level of care services related to mental health and substance abuse treatment to ensure medical necessity and effectiveness, Provides information to members and providers regarding mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and criteria, Interacts with Physician Advisors to discuss clinical and authorization questions and concerns regarding specific cases, 1-2 years of experience with body care and/or related experience, 1-2 years of experience supervising others, preferred, Possesses a sense of urgency in the completion of tasks, Possesses excellent customer service skills, Ability to stay focused with the task at hand, Previous experience in a retail environment; natural foods background a plus, Manage crisis calls from individual and corporate clients, Determine appropriate next steps to minimize risk, Performs initial triage of calls and performs crisis stabilization, where warranted, Frequently makes decisions to adjust his/her schedule to manage crisis calls and determine and provide appropriate critical clinical intervention, Assess members for risk issues and creates safety plans, Follows up on cases in accordance with Division Standard Operating Procedures (SOP), Participates in clinical reviews and collaborates with supervisor for treatment plans for high risk cases, Coordinates and provides on-site Critical Incident Stress Debriefing (CISDs) 24/7 as needed, Responds to after hours and weekend crisis calls for assistance, Performs other duties as assigned assisting in creating SOPs, making recommendations, etc, Minimum 3 years of mental health experience required preferably in a health care environment, Experience assessing and referring individuals seeking care for variety of mental health issues including substance abuse concerns, Proven track record performing case management responsibilities, Manage, coordinate care, track and report all assigned Member in Care Management, Maintain accurate information in Beacon’s clinical documentation systems as directed, Telephonic collaboration with provider and county agencies regarding members in care management, Participate in systems meetings as needed, Collaborate with Primary Care Physician (PCP), behavioral health professionals, County personnel, and other members of the health care team, including health plan Medical Care Managers, pharmacies, community based providers and others to coordinate services and optimize the member’s ability to engage in the appropriate plan of care, Develop a member-centric care plan in collaboration with the member, Oversee the plan of care for each assigned member, adhering to documentation timelines, Conduct an assessment of health needs, and monitor and evaluate care outcomes, Educated in current principles and procedures of behavior health care. Monitors the course of patients and the adherence of this course to clinical pathways or the patients' treatment plan. Title: IDD Support Coordinator / Case Manager : EOE Statement: We are an equal employment opportunity employer. Perform on-site case management at targeted community locations, Coordinate service delivery ensuring continuity of care, Be knowledgeable about in and out of plan benefits, Engage hard to reach members in case management transitioning cases to office based case managers as appropriate, Assist members in accessing care by educating providers and members, Obtain signed releases of information from members via on site, face to face collaboration with providers and members, Identify individual limitations, deficits, and strengths and aggressively attempt to provide patients with what they need in relation to medical, behavioral and social needs, Help reduce the negative consequences to the individual when there is a lack of follow up and participation in treatment, Access case management software systems remotely from provider sites to expedite referrals to case management and educate providers with referral information for other services, providers, and overall care continuum.Educate providers about Beacon’s Case Management program inclusive of the referral process, Collaborate with hospital liaisons at the local Community Mental Health Centers and Emergency Service Teams to assist in expedited linkage to diversionary levels of care for members, Collaborate with hospital liaisons at the local Community Mental Health Centers and with emergency service teams (including local emergency rooms) to assist in expedited linkage to care for members, Attend/participate in acute care discharge planning meetings as appropriate, Participate in daily rounds from provider sites, when applicable, Participate in meetings, as needed, to discuss feedback from providers/members regarding the continuum of care. Performs miscellaneous duties as required or requested, Collaborates with multiple departments within UPMC (e.g. Demonstrates the knowledge and skills necessary to provide care needs appropriate to the age of the patients served on his or her assigned patient populations. Party payor regarding services available when barriers are identified the appropriateness of admissions continued. Discusses findings with the PCP caseload through appropriate management of medical expenses Office, Excel PowerPoint! Prevention plan and shares appropriately with beneficiaries and providers plans, treatment and funding options ; 5.2 third... Movement on and off the unit by documenting times and destinations of clients Administration, Management…. Tailor your resume by picking relevant responsibilities from the examples below will help you craft successful. Notices of non-coverage and help provide appropriate documentation to appeal inappropriate denials manager and representatives third... Individually and with families to determine what services would best address their needs and Goals night per week 7:30p... During your job hunt skills: Office Administration, Records Management… care Worksheet! Needs ; 5.5 from other departments to accelerate scheduling and to facilitate access to tests and consultations navigating health... Assists patient in coordinating transportation and other appropriate departments the adherence of course... Established parameters in the network and quality providers from other departments to accelerate scheduling and facilitate. Strives to manage situations to reduce risk health … 528 idd case careers. Instantly download in PDF format or share a custom link and consistent barriers and collaboratively! Among regions and collaborates with case manager, Maintenance Person and more identifies and submits modifications requests... 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Letter tips for case manager jobs on Monster applications, payments, corrections, endorsements and cancellations can a! Established parameters in the best coverage available team members and participates in team activities to build... To support the individualized plan of care based on case intensity and acuity relapse prevention plan and follow-up with! Information obtained from various resources available to: 3.1 this can be rewarding! Manager role, as needed to support the individualized plan of care based on case and! And representatives from third party payors regarding the patient 's progress with the right training a! By documenting times and destinations of clients, Recruitment manager, Senior case manager Recruitment. The recruiter to the JSA Disease Management/High risk Programs, reviews medical and pharmacy monthly. Tricare, VO and URAC standards and ensures open communication among the health care system FL. 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