Job Details
Integrated Case Manager for Population Health is an interdependent member of the patient-centered care team responsible for assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet comprehensive health care needs.Conducts comprehensive assessments of patient and family needs to gauge the potential impact on recovery.Develops personalized patient-centered care plans aimed at optimizing the patient’s care experience.Engages patients and their families through advocacy, ongoing communication, health education, and resource identification.
Job Requirements
Excellent verbal communication and written documentation skills.Excellent customer service and interpersonal skills.Strong problem-solving, analytical, and decision-making skills.Experience in discharge planning, home health care, rehabilitative medicine, community health or managed care preferred.Knowledge of preventive service guidelines, clinical practice guidelines, behavior change theory, Medicare and Medicaid regulations and case management principles.
Additional Details
Strong computer skills and knowledge.Understanding of social determinants of health and their impact on a patient’s wellbeing.Well versed in facilitating community resources to meet the needs of diverse populations.Strong organizational, planning and implementation skills with the ability to handle multiple complex patient needs simultaneously.
