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Careline ServicesNew York
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Careline ServicesNew York
thoughout the Metropolitan area including Hospitals, Long Term Care, Adult Day Care, Community Health Centers, Psychiatric facilities and many others. We work closely with our contracted facilities and nurses to find the best fit for both.
Come...
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Social Worker - Care Manager
Brooklyn (NY) | www.resume-library.com |
Social Worker
Duration: 6 months
Location: NY - Hybrid
Compensation: Starting at $45/hour
Description: Provides care management through a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet member's health needs through communication and available resources, while promoting quality cost-effective outcomes.
Maintains members in the most independent living situation possible; ensures consistent care along entire health care continuum by assessing and closely monitoring members' needs and status.
Provides care management services and authorizes/ coordinates services within a capitated managed care system. Closely communicates and collaborates with primary care practitioners, interdisciplinary team, and family members. Works under general supervision.
What You'll Do:
Assesses, plans, and provides intensive and continuous care management across acute, home, and long-term care settings.
Develops and negotiates care plans with members, families, and physicians.
Assesses a person's living condition/situation, cultural influences, and functioning to identify the individual's needs; develops a comprehensive care plan that addresses those needs.
Assesses an enrollee's eligibility for Program services based on his or her health, medical, financial, legal, and psychosocial status, initially and on an ongoing basis.
Plans specific objectives, goals and actions designed to meet the member's needs as identified in the assessment process that are action-oriented, time-specific and cost effective.
Implements specific care management activities and or interventions that lead to accomplishing the goals set forth in the plan of care.
Coordinates, facilitates, and arranges for long term care services in the home and community-based sites, such as adult day care, nursing homes, rehab facilities, etc.
Arranges for on-going nursing care, service authorization and periodic assessment.
Collaborates and negotiates with interdisciplinary teams, health care providers, family members, and third-party payors, as applicable, across all health settings to ensure optimum delivery and coordination of services to members.
Monitors care management activities, services, and members' responses to interventions, to determine the effectiveness of the plan of care and the utilization of services.
Evaluates the effectiveness of the plan of care in reaching desired outcomes and goals; makes modifications or changes in the plan of care as needed.
Identifies trends and needs of groups in the community and plans interventions based on these identified needs.
Provides care management services across sites and collaborates with appropriate facility discharge planner and/or HCC when members are transitioned between settings.
Manages expenditures to ensure effective use of covered services within a capitated rate.
Fiscally responsible in providing services based on members' needs.
Visit's members in their homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the patient.
Provides social work services in accordance with NASW code of ethics, Agency policies, practices, and procedures.
Participates in outreach activities to promote knowledge of the Program and its services and to coordinate Program activities with outside community agencies and health care providers (e.g., community health screening, In Services).
Participates in the development of programs to meet the specialized needs of this selected patient population.
Documents services in accordance with Community Care standards and Managed Long-Term Care (MLTC) and Licensed Home Care Services Agency (LHCSA) regulations.
Participates in special projects and performs other duties as requested.
You'll be successful if:
Minimum of three years MSW experience required.
Minimum of two years in a case management and/or community-based environment preferred.
Bilingual skills may be required, as determined by operational needs.
Clinical expertise in geriatrics, Long Term care (LTC) and Managed care (MLTC) experience highly preferred.
Understanding of benefit guidelines
What You'll Bring:
License and current registration to practice as a Licensed Social Worker in New York State preferred.
Master's degree in Social Work after successfully completing a prescribed course of study at a graduate school of Social Work accredited by the Council on Social Work Education and the Education Dept. and who is certified or licensed by the Education Dept to practice Social Work Education
Case Management Certification preferred.
Bilingual English and one of these languages highly preferred: Spanish, Russian, Mandarin, Cantonese, Arabic
About Impresiv Health:
Impresiv Health is a healthcare consulting and staffing partner specializing in operations management consulting and business optimization services for companies across the healthcare continuum. Started on the belief that a firm's foundation could be built with a team of thought leaders and proven industry experts, we've established a company that delivers quick and efficient results for our clients.
We offer strategic business and technical management consulting services, and a suite of staffing solutions.
Impresiv Health is a services partner with a focus on expediting time-to-value. It's not just our goal to immediately deliver greater returns on your investment in us as a partner it's our reputation.
Quicker, efficient, and affordable. That's Impresiv!
Duration: 6 months
Location: NY - Hybrid
Compensation: Starting at $45/hour
Description: Provides care management through a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet member's health needs through communication and available resources, while promoting quality cost-effective outcomes.
Maintains members in the most independent living situation possible; ensures consistent care along entire health care continuum by assessing and closely monitoring members' needs and status.
Provides care management services and authorizes/ coordinates services within a capitated managed care system. Closely communicates and collaborates with primary care practitioners, interdisciplinary team, and family members. Works under general supervision.
What You'll Do:
Assesses, plans, and provides intensive and continuous care management across acute, home, and long-term care settings.
Develops and negotiates care plans with members, families, and physicians.
Assesses a person's living condition/situation, cultural influences, and functioning to identify the individual's needs; develops a comprehensive care plan that addresses those needs.
Assesses an enrollee's eligibility for Program services based on his or her health, medical, financial, legal, and psychosocial status, initially and on an ongoing basis.
Plans specific objectives, goals and actions designed to meet the member's needs as identified in the assessment process that are action-oriented, time-specific and cost effective.
Implements specific care management activities and or interventions that lead to accomplishing the goals set forth in the plan of care.
Coordinates, facilitates, and arranges for long term care services in the home and community-based sites, such as adult day care, nursing homes, rehab facilities, etc.
Arranges for on-going nursing care, service authorization and periodic assessment.
Collaborates and negotiates with interdisciplinary teams, health care providers, family members, and third-party payors, as applicable, across all health settings to ensure optimum delivery and coordination of services to members.
Monitors care management activities, services, and members' responses to interventions, to determine the effectiveness of the plan of care and the utilization of services.
Evaluates the effectiveness of the plan of care in reaching desired outcomes and goals; makes modifications or changes in the plan of care as needed.
Identifies trends and needs of groups in the community and plans interventions based on these identified needs.
Provides care management services across sites and collaborates with appropriate facility discharge planner and/or HCC when members are transitioned between settings.
Manages expenditures to ensure effective use of covered services within a capitated rate.
Fiscally responsible in providing services based on members' needs.
Visit's members in their homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options to deliver direct care to the patient.
Provides social work services in accordance with NASW code of ethics, Agency policies, practices, and procedures.
Participates in outreach activities to promote knowledge of the Program and its services and to coordinate Program activities with outside community agencies and health care providers (e.g., community health screening, In Services).
Participates in the development of programs to meet the specialized needs of this selected patient population.
Documents services in accordance with Community Care standards and Managed Long-Term Care (MLTC) and Licensed Home Care Services Agency (LHCSA) regulations.
Participates in special projects and performs other duties as requested.
You'll be successful if:
Minimum of three years MSW experience required.
Minimum of two years in a case management and/or community-based environment preferred.
Bilingual skills may be required, as determined by operational needs.
Clinical expertise in geriatrics, Long Term care (LTC) and Managed care (MLTC) experience highly preferred.
Understanding of benefit guidelines
What You'll Bring:
License and current registration to practice as a Licensed Social Worker in New York State preferred.
Master's degree in Social Work after successfully completing a prescribed course of study at a graduate school of Social Work accredited by the Council on Social Work Education and the Education Dept. and who is certified or licensed by the Education Dept to practice Social Work Education
Case Management Certification preferred.
Bilingual English and one of these languages highly preferred: Spanish, Russian, Mandarin, Cantonese, Arabic
About Impresiv Health:
Impresiv Health is a healthcare consulting and staffing partner specializing in operations management consulting and business optimization services for companies across the healthcare continuum. Started on the belief that a firm's foundation could be built with a team of thought leaders and proven industry experts, we've established a company that delivers quick and efficient results for our clients.
We offer strategic business and technical management consulting services, and a suite of staffing solutions.
Impresiv Health is a services partner with a focus on expediting time-to-value. It's not just our goal to immediately deliver greater returns on your investment in us as a partner it's our reputation.
Quicker, efficient, and affordable. That's Impresiv!
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