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Care Manager

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POST DATE 9/8/2016
END DATE 10/13/2016

Superior Group Philadelphia, PA

Company
Superior Group
Job Classification
Full Time
Company Ref #
378021
AJE Ref #
576114235
Location
Philadelphia, PA
Job Type
Regular
Education
Bachelors Degree

JOB DESCRIPTION

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Superior group is looking for a Care Manager for our client located in Philadelphia, PA

The Care Manager (RN/SW) assists members appropriate for care coordination and case management services in achieving their optimal level of health.
The Care Manager (RN/SW) is responsible for engaging the member and providers to assess, plan and establish individual member goals.
Will facilitate and coordinate care for the members while assuring quality and use of cost-effective resources.
The position will function as a single point of contact and be an advocate for members in the care coordination program.
Assess members to determine care coordination and case management needs for all referred members.
Completes comprehensive assessment of environmental, Psycho-social and support needs.
Identifies problems/barriers for care coordination and appropriate care management interventions.
Creates a plan of care to assist members in reducing/resolving problems and or barriers so that members may achieve their optimal level of health.
Identifies both short and long term goals and associated time frames for completion.
Shares goals with the member and family as appropriate.
Identifies and implements the appropriate level of intervention based upon the member’s needs and clinical progress.
Schedules follow up calls as necessary, makes appropriate referrals.
Implements actions to address member issues.
Documents progress towards meeting goals and resolving problems.
Coordinates care and services with the Account manager, Complex RN Case Manager, and member, family members as appropriate, PCP, Specialist, and Facility/Vendor Providers.

Required Skills / Qualifications:

Bachelor’s degree in a health related field and licensure as a health professional
Minimum of 5 years’ experience in case management


Preferred Skills / Qualifications:



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