Position: Care Manager
Location: Monroe County/ Greater Rochester Area
Hire Rate: To be discussed at interview
Care Management is a collaborative process that includes assessing physical, social and environmental factors that affect the lives of iCircle Care members. The Care Manager implements an appropriate quality and cost-effective plan that utilizes all resources available to meet those needs. The Care manager utilizes evidence-based health strategies to prevent hospitalization and inappropriate utilization of emergency room visits. The process is cyclical in several phases: assessing, stratifying, planning, implementing/coordinating care and reassessing/evaluating. The Care Manager assists the member in reaching his/her optimum level of wellness, self-care management, and functional capabilities.
•Oversee caseload of managed care members
•Review and evaluate the member’s assessment and UAS information
•Develop comprehensive service plans
•Make referrals to appropriate health and community resources in timely manner
•Review and authorize request for services according to workflows and timeframes
•Maintain clear, effective communication with member continually, including monthly calls
•Educate members and caregivers on covered services and benefits
•Evaluate member in his/her residence on an as needed basis
•Promote healthy living and injury prevention for members
•Evaluate available clinical data and notes, including assessments
•Evaluate member’s response to interventions and makes modifications as necessary
•Collaborate with interdisciplinary team
•Document all interventions
•Maintain member privacy, confidentiality, health, and safety
•Adhere to ethical, legal, accreditation, certification, and regulatory standards and guidelines
•Demonstrate cultural competence by being respectful of and responsive to the health beliefs, practices, cultural and language needs of the member and his/her support system
•Participate in Quality Assurance and Improvement activities
•On call responsibilities
•Performs all other duties as assigned by supervisor
ESSENTIAL ACADEMIC AND EXPERIENCE REQUIREMENTS:
•New York State Licensed Registered Nurse, Bachelor’s degree preferred OR Licensed Master’s Social Worker
•Minimum five years in healthcare related field, with 2 years as a care manager in managed care environment or community health
•Must be at least 18 years of age
•Reliable transportation (NYS Drivers’ Licensed required)
•Ability to work independently and motivate others
•Ability to communicate effectively, both orally and in writing
•Maintain all required certifications/training by State regulations and iCircle policy
•Bilingual a plus
•High attention to detail
•Experience utilizing computer software including Microsoft Word and clinical applications
•All experience and education requirements, except when required by federal, state, or local laws or requirements, may be waived at the discretion of management with the approval of the Program Vice President in collaboration with Human Resources.
•Adhere to all iCircle Services policies and procedures.
•Adhere to the Agency Mission, Vision, Shared Values, and Customer Service Standards.
•Attend mandatory Education and Training modules as scheduled, obtains, and maintains required license and certifications.
•Act as a professional representative of iCircle Services in regards to appearance, behavior, temperament, communication, language, and dress.
CDS Life Transitions/iCircle is an Equal Opportunity/Affirmative Action Employer Minorities/Female/Disabilities/Veteran.
860 Hard Rd.
Webster, NY 14580