What are the responsibilities and job description for the Case Manager/Health Coordinator, IHMS - QUEST position at HMSA?
Conduct timely face to face assessments and develop, document, and implement targeted health action plans/care plans based on the results of the assessment for members requiring assistance with care coordination.
Coordinate a multi-disciplinary team to develop a person- centered care plan to include but not limited to member's PCP, other service providers as appropriate, the member, and others determined by the member including family members, caregivers, and significant others in order to ensure timely access to appropriate medical care, behavioral health care, and services.
Document and resolve issues for eligible HMSA members and providers on appropriate electronic systems.
Provide continuity of care when members are discharged from a hospital to avoid re-admissions
Coordinate and monitor activities among internal departments, external community agencies including DHS, Medicare, and the DOH programs, as well as HMSA partners/vendors.
Utilize compiled data received from member encounters to assure the services provided meet the member's needs.
Assist manager in updating or establishing new policies and procedures as needed or identified.
Provide assistance in resolving any concerns about service delivery or providers.
Performs all other miscellaneous responsibilities and duties as assigned or directed.
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