What are the responsibilities and job description for the Care Manager, RN CW position at TPI Global (formerly Tech Providers, Inc.)?
Job Title : Care Manager, RN
Job Location : New Castle County, DE
Project Duration : 3 months to Contract to HIRE opportunity
Interview Mode : Onsite / Face-to-face
JOB DESCRIPTION
The resource will mostly, with few exceptions, be going into homes to visit home-based members (occasionally to motels, if the member is unhoused, or to hospitals, but these will be sporadic visits)
There will be three weeks of training for this role. During the training, the candidate will be expected to utilize basic computer skills involving emails, Outlook, etc.
Responsibilities :
Travel to members’homes (occasionally a hospital or motel and very rarely a long-term care facility or nursing home) and other community based settings in order to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols.
Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in a nursing facility or home and community-based care setting.
Coordinate care across the continuum of services and assisting members physical, behavioral, long term services and supports (LTSS), social, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs.
Facilitate authorization, coordination, continuity and appropriateness of care and services in community or HCBS.
Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease / Chronic Condition Management, Behavioral Health, and Complex Case Management.
Collaborate with the member's health care and service delivery team including the DSHP Plus LTSS Member Advocate, ICT, and discharge planners, to coordinate the care needs and community resources for the member in order to maintain the member in the least restrictive safe environment possible. Assist members in developing, implementing and amending a back-up plan for gaps in provider coverage.
Ensure approved support services are being provided as outlined in the plan of care. Evaluate the effectiveness of the service plan and making appropriate revisions as needed in accordance with per policy & procedures and state contractual requirements.
Document all case management services and intervention in the electronic health record. Adhere to all company, State and Federal requirements related to privacy practices, HIPAA, and quality performance standards.
Perform other duties as assigned / requested.
Required Qualifications :
Registered Nurse in the state of DE, with case management experience
Experience completing Assessments, developing Service Plans and Care Plans
Experience collaborating with PCP’s, Occupational Therapists, Behavioral Health, and Providers
Experience with ordering DME Equipment
Experience educating and providing resources for the member’s Social Determinants. They must have experience with discharging members from a Facility setting.
Working flexible hours to meet member’s needs
Proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook)
Must be willing to travel throughout the state (may only need to travel 2-3 times a week depending on schedule)
Must be able to communicate clearly to members - will be tasked with conducting assessments with members over the phone
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