What are the responsibilities and job description for the Case Manager I position at Integrated Resources, Inc ( IRI )?
Job Description: M-F 8-5 Mountain Time
We are hiring in the Albuquerque/Rio Rancho area, with potential support needed in Santa Fe, Grants, and Los Lunas.
The Case Manager will work remotely from home and will travel as needed to conduct field visits to members' residences, which may include homes, assisted living facilities, shelters, and other settings
Qualified candidates must live in the state of NEW MEXICO. If licensed, must be licensed for NEW MEXICO.
Any of the following:
Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related)
REQUIRED EXPERIENCE:
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.
STATE SPECIFIC REQUIREMENTS:
Bachelor's Degree or 1 year of Care Coordination a minimum of one year of experience
PREFERRED EXPERIENCE:
1-2 years in case management, disease management, managed care or medical or behavioral health settings.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Any of the following:
Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).
KNOWLEDGE/SKILLS/ABILITIES:
Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
Conducts telephonic, face-to-face or home visits as required.
Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains ongoing member case load for regular outreach and management.
Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Client members.
May implement specific Client wellness programs i.e. asthma and depression disease management.
Facilitates interdisciplinary care team meetings and informal ICT collaboration.
Uses motivational interviewing and Client clinical guideposts to educate, support and motivate change during member contacts.
Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
Collaborates with RN case managers/supervisors as needed or required
Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
Travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Client’s Central Programs unit.
Required Years of Experience: 1-2 years
Required Licensure / Education: STATE SPECIFIC REQUIREMENTS:
Bachelor's Degree or 1 year of Care Coordination a minimum of one year of experience
We are hiring in the Albuquerque/Rio Rancho area, with potential support needed in Santa Fe, Grants, and Los Lunas.
The Case Manager will work remotely from home and will travel as needed to conduct field visits to members' residences, which may include homes, assisted living facilities, shelters, and other settings
Qualified candidates must live in the state of NEW MEXICO. If licensed, must be licensed for NEW MEXICO.
- Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
Any of the following:
Bachelor's or Master's Degree (preferably in a social science, psychology, gerontology, public health or social work or related)
REQUIRED EXPERIENCE:
1-3 years in case management, disease management, managed care or medical or behavioral health settings.
REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:
Must have valid driver’s license with good driving record and be able to drive within applicable state or locality with reliable transportation.
STATE SPECIFIC REQUIREMENTS:
Bachelor's Degree or 1 year of Care Coordination a minimum of one year of experience
PREFERRED EXPERIENCE:
1-2 years in case management, disease management, managed care or medical or behavioral health settings.
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:
Any of the following:
Licensed Clinical Social Worker (LCSW), Advanced Practice Social Worker (APSW), Certified Case Manager (CCM), Certified in Health Education and Promotion (CHEP), Licensed Professional Counselor (LPC/LPCC), Respiratory Therapist, or Licensed Marriage and Family Therapist (LMFT).
KNOWLEDGE/SKILLS/ABILITIES:
Completes clinical assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers from the assessment.
Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
Conducts telephonic, face-to-face or home visits as required.
Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
Maintains ongoing member case load for regular outreach and management.
Promotes integration of services for members including behavioral health care and long term services and supports to enhance the continuity of care for Client members.
May implement specific Client wellness programs i.e. asthma and depression disease management.
Facilitates interdisciplinary care team meetings and informal ICT collaboration.
Uses motivational interviewing and Client clinical guideposts to educate, support and motivate change during member contacts.
Assesses for barriers to care, provides care coordination and assistance to member to address concerns.
Collaborates with RN case managers/supervisors as needed or required
Case managers in Behavioral Health and Social Science fields may provide consultation, resources and recommendations to peers as needed
Travel of up to 40% may be required, depending on the complexity level of the assigned members, particular state-specific regulations, or whether the Case Manager position is located within Client’s Central Programs unit.
Required Years of Experience: 1-2 years
Required Licensure / Education: STATE SPECIFIC REQUIREMENTS:
Bachelor's Degree or 1 year of Care Coordination a minimum of one year of experience
