Care Coordinator/Care Managers - RN, LCSW or LBSW Job at Toney HealthCare Consulting, LLC
Toney HealthCare Consulting, LLC Detroit, MI
LCSW or LBSW (MI) Licensure Required
Must be able to provide home based services for health plan members residing in McComb and Wayne counties (MI)
Personal Transportation is a MUST.
Must meet CDC Covid Vaccination Requirements.
The Care Coordinator (RN/SW) assists members appropriate for care coordination and case management services in achieving their optimal level of health. The Care Coordinator (RN/SW) must have relevant experience and education to work with Enrollees with complex health, behavioral health, long-term services and supports and/or psychosocial needs and perform the following functions:
1. Provides access to a single point of contact for all questions or inquiries;
2. Conducts face-to-face assessments with Enrollees and/ or their caregiver
3. Develops an Individualized Care Plan that is periodically reviewed and updated;
4. Provides disease self-management and coaching;
5. Conducts medication review, including reconciliation during transitions of care setting;
6. Providess periodic monitoring of health, functional and mental status along with pain and fall screening;
7. Ensures the provision of services in the least restrictive setting and transition support across and between specialties and care settings;
8. Connects Enrollees to services that promote community living and help to delay or avoid nursing facility placement;
9. Coordinates with social service agencies (e.g., local departments of health, social services and community based organizations) and the referral of Enrollees to state, local and/or other community resources; and
10 Collaborates with nursing facilities to promote adoption of evidence-based interventions to reduce avoidable hospitalization, management of chronic conditions, medication optimization, fall and pressure ulcer prevention, and the coordination of services beyond the scope of the nursing facility benefit.
Job Types: Full-time, Contract
Pay: $50.00 - $55.00 per hour
Schedule:
- 8 hour shift
- Monday to Friday
Application Question(s):
- Do you have reliable transportation (mileage reimbursed per IRS guidelines)?
License/Certification:
- Michigan License (As appropriate LCSW, LBSW, or RN) (Required)
Willingness to travel:
- 100% (Required)
Work Location: On the road
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