Job description
We are a COVID-19 vaccinated workforce. New Associates must provide proof of vaccination prior to hire date.
Join us at
– a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion in a non-profit, mission-driven organization that’s known for the highest level of care in our communities
SUMMARY
Responsible for serving as the Care Management Services’ member liaison and representative by ensuring the goals of the program and those of individual members are met through primary care enhanced case management. A primary function of this position is to complete member assessments.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Contacts members and/or informal care givers as needed, but no less than one time per month and conducts an in-home visit at least every 90 days.
- Collaborates with Case Manager for Care Management Services and members of the multidisciplinary team to establish member Care Paths which identify member needs and corresponding services to be provided and ensure Care Paths are updated with all assessment findings and member’s significant status changes are documented appropriately.
- Identifies and resolves variances from documented Care Path.
- Contacts member’s providers as needed and provides prompt notification of changes in member’s status to all appropriate parties.
- Ensures assigned members visit their PCP at least every three months and more often if needed.
- Accepts referrals and ensures potential members are screened in a timely manner as required by organization and governmental policies.
- Consults with the Administrator for Care Management Services prior to each member discharge and on an as needed basis and the assigned Assessment Coordinator for Care Management Services as appropriate.
- Takes call on a rotating basis as assigned.
- Sends assessments to Assessment Coordinator timely.
- Completes all new admission assessments, re-assessments, significant change assessments within specified appropriate time frame.
- Determines appropriate level of care on assigned members as outlined in state regulations and Care Management Services’ Operational guidelines.
- Assists with quality through effective collaboration with Quality Assurance and Education Coordinator, Assessment Coordinator and Administrator for Care Management Services to ensure effective implementation of Care Management Services’ Quality Assurance and Education plans, initiatives and processes.
- Seeks community education opportunities and provides recommendations to the Administrator and/or Community Education Coordinator for Care Management Services.
- Maintains knowledge of, adheres to current regulations, Care Management Services Personnel and Operational Guidelines and best practices related to the operations of the SOURCE Program and Care Management Services.
- Performs all duties of the Assessment Nurse, as well as those of the Case Manager for Care Management Services as outlined in state regulations and Care Management Services’ Operational guidelines as assigned.
- Provides on-site assistance for all state surveys.
- Reports corporate compliance concerns appropriately.
- Reports privacy and security concerns appropriately.
- Reports work time and business expenses in accordance with organizational guidelines.
- Maintains prompt, accurate and secure documentation as it relates to member needs, contacts and plans.
- Ensures appropriate documentation is filed promptly in members’ chart as outlined in Care Management Services’ Operational Guidelines.
- Utilizes appropriate log book to sign all member charts in and out as well as ensures member charts are not removed from the office for greater than 3 business days.
- Assists in the recruitment of new PCPs or other community services providers, as requested.
- Assists with Assessment Nurse Case Manager and Case Manager duties for other Care Management Services’ locations as needed
- Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
- Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.
- Performs other duties as necessary to ensure the success of the System.
SKILLS AND ABILITIES
- Completes work in a timely, accurate, and efficient manner.
- Ability to organize and prioritize assignments/responsibilities.
- Maintains constructive working relationships by communicating and interacting effectively with supervisors, organizational leadership, peers and individuals inside and outside the Organization, in a positive, professional and respectful manner
- Portrays a positive image of the organization and communicates guiding principles, mission, vision and values.
- Completes work in a timely, accurate, efficient and thorough manner and is conscientious about assignments/responsibilities.
- Consistently reports to work on time prepared to perform duties of the position.
- Manages multiple deadlines with demonstrated flexibility in working with changing priorities.
- Ability to work a demanding, primarily self directed work schedule.
- Demonstrates good judgment and decision making.
- Exhibits exceptional organizing and planning skills.
- Ability to deliver excellent customer service, externally and internally as well as maintain customer confidentiality.
- Ability to react effectively and calmly in emergency situations.
MINIMUM QUALIFICATIONS
- Valid Georgia LPN license with 1 yr of experience in the health and human services field OR
- Valid Georgia RN license.
- Experience in social work, home and community based services, healthcare or geriatrics preferred.
- Valid Driver’s License.
- Reliable transportation.
SUPERVISORY RESPONSIBILITIES
None
LANGUAGE SKILLS
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or associates of the organization.
MATHEMATICAL SKILLS
Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.
REASONING ABILITY
Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram format. The ability to deal with problems involving several concrete variables in standardized situations.
COMPUTER APPLICATION SKILLS
This job requires proficiency with the following computer applications:
Microsoft Outlook Microsoft Excel Microsoft Word
CERTIFICATES, LICENSES, REGISTRATIONS
Please see minimum qualifications
PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the associate is regularly required to sit, talk or hear. The associate frequently is required to walk. Use hands to finger, handle or feel and reach with hands and arms. The associate is occasionally required to stand. Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.
EEO / M / F / D / V / Drug Free Workplace
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