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Care Manager

Company: Beacon Health Options
Location: Buffalo
Posted on: October 12, 2019

Job Description:

Beacon Health OptionsJob Category: Clinical - Care MgmtReq #: CAREM01104Schedule: Full TimeLocation: NY - BuffaloThe Clinical Case Manager - Intensive Case Manager is responsible for outreaching, triaging, assessing, and managing of members referred to Case Management. Responsible for the tracking and managing of members who are significant clinical risk and in need of linkage to services and coordination of care.General CompetenciesDemonstrated experience effectively engaging with members and providersFamiliarity with managed care and health plan case managementDemonstrated work experience meeting strict deadlines and established cycle times through effective prioritization and follow-up skills.Case Managers are required to be educated in current principles, procedures and knowledge domains of case management based on nationally recognized standards of case managementCase managers must practice within the scope of their license.Excellent written and oral communication skillsPosition Responsibilities:Telephonic outreach and engagement of assigned membersMay conduct in person, face to face outreach visits, at provider facilities and in the community, as needed, to facilitate engagement, assessment and care planning.Independent and individualized assessment of members enrolled in ICM.Development of a member centric care plan in collaboration with the member and his/her treatment teamFacilitation of interventions and services appropriate to the member's clinical status and available resources.Managing, coordinating care, and identifying strategies to meet care plan goals of assigned ICM MembersCollaboration and communication with Primary Care Providers and community based providers.Utilization Review for designated ICM Clients/ Case Management Clients for diversionary levels of careAssist in collection of outcomes information, annual analysis and other reporting and initiativesParticipation in telephonic and in person case conferences and care planning meetings with members, providers, PCPs and community agencies.Provides case management in compliance with regulatory and accreditation requirementsResponse to urgent and crisis calls from membersPromotes member safety and recovery goalsParticipation in internal Clinical Rounds and Clinical Rounds with Health Plan partnersUtilization Review for designated ICM/Case Management Clients for some diversionary levels of careCompliance with all documentation and training requirementsUtilization Review of non-ICM/Case Management members as neededOther duties as assignedBeacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled.At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (). Only candidates who have applied for an open position through our Careers page () will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.PI114156576Pandologic. Keywords: Medical Case Manager, Location: Buffalo, NY - 14201

Keywords: Beacon Health Options, Buffalo , Care Manager, Other , Buffalo, New York

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