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Qualified applicants must reside in one of the following North Carolina cities: Greensboro, Fayetteville, Wilmington, Goldsboro, Jacksonville/New Bern, Greenville, Rocky Mount/Roanoke Rapids or Winston-Salem Position Purpose: This professional will be responsible for the oversight and coordination of long term support services/long term care for special (higher acuity) populations residing in the community and/or skilled nursing facilities.
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Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients. Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan.
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Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
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Actively participate in integrated team care management rounds. 2+ years of clinical nursing experience in an clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.
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Transitional Care Management services include non-face-to-face communication with the patient and/or caregiver, hospital case manager, home health agencies, specialist referrals, outside community and health resources and assistance with scheduling the patient's follow up with primary care provider and specialists.
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Care Manager I (Social Work) page is loaded. Care Manager I (Social Work) Oklahoma Complete Health , we are community advocates and change-makers in search of an inclusive culture grounded by our commitment to work-life balance, competitive compensation, and continuous career development.
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Works closely with the Director of Value Based Care and/or the Lead RN Care Manager, other CCM team members, providers and Quality staff to help ensure that the care patients receive is efficient, thorough, timely and properly documented to help patients avoid ER and urgent care visits, hospital admissions and readmissions.
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Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs. Develop, assess and adjust, as necessary, the care plan and promote desired outcome.
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Centene is currently hiring a Care Manager I (Social Work) For Michigan Complete Health and DE First Health- home visits required. Washington Coordinated Care Health Plan. The ideal candidate will have a background in a foster care, or agencies with child welfare system.
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