▷ [Immediate Start] Care Manager II

2 weeks ago

Dublin, Ireland RPMGlobal Full time

The Care Manager supports maternity members through personalized care coordination and case management, helping them achieve optimal health through self-management. This role involves engaging with members, caregivers, and providers to assess needs, develop care plans, and set individual health goals.

Work Arrangement:

- Remote - Associate must be located in Ohio.

Responsibilities:

- Assess members to determine care coordination and case management needs for all referred members.
- Completes comprehensive person-centered assessment of physical health, psycho-social health, and environmental health as social determinants of health and supportive needs.
- Identifies problems/barriers for care coordination and appropriate care management interventions.
- Coordinates physical, behavioral health, and social services.
- Provides medication management, including regular medication reconciliation and support of medication adherence.
- 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 caregiver as needed.
- Identifies and implements the appropriate level of intervention based on the member’s needs and clinical progress.
- Schedules follow-up calls as necessary and makes appropriate referrals. Implements actions to address member issues.Documents progress towards meeting goals and resolving problems.
- Coordinates care and services.

Education & Experience:

- Minimum of 3 years of professional practice working with maternal health within an acute care, community health, or ambulatory care setting.
- Case management experience, preferably within a managed care organization, is desired.

Licensure:

- A current and unrestricted Registered Nurse (RN) or Licensed Independent Social Worker (LISW) in Ohio or multi-state compact licensure is required.
- Valid driver’s license and car insurance required.

Skills & Abilities:

- Ability to work independently and collaboratively in a fast-paced, dynamic environment, showing adaptability and flexibility to change.
- Skilled in working effectively with culturally and demographically diverse populations. Strong organizational and time management abilities, with a proven capacity to prioritize and manage multiple tasks efficiently.
- Experienced in assessing member needs, developing care plans, and supporting self-management strategies.

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