Care Manager II

Lancesoft

Wayne County or Macomb County, MI

Apply

JOB DETAILS

SALARY

$40–$44.17 Per Hour

SKILLS

Behavioral Health, Communication Skills, Contract Requirements, Cross-Functional, Denial of Service (DoS), Detail Oriented, Establish Priorities, Health Plan, Healthcare, Insurance, Leadership, Long-Term Care, Multitasking, Network Support, Presentation/Verbal Skills, Problem Solving Skills, Team Lead/Manager, Time Management, Willing to Travel, Writing Skills

LOCATION

Wayne County or Macomb County, MI

POSTED

17 days ago

Position Type: Contract (Full Time)
Job Title: Care Manager I
Location: Hybrid (Wayne County or Macomb County)
Duration: 3+ Months
Offered Rate: $40/hr - $44.17/hr on w2 (All inclusive)
Schedule: Monday –Friday (40 Hours per Week)

Job Description:
Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team coordinating integrated delivery of member care across the continuum for members with high-need potential. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. ·Has worked within MI Choice waiver or HCBS waiver program in Michigan ·Reliable transportation with insurance ·Strong internet connection

Essential Job Duties •Completes comprehensive member assessments within regulated timelines, including in-person home visits as required. •Facilitates comprehensive waiver enrollment and disenrollment processes. •Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate health care professionals and member support network to address the member needs and goals. •Performs ongoing monitoring of care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly. •Promotes integration of services for members including behavioral health care and long-term services and supports (LTSS) and home and community resources to enhance continuity of care. •Assesses for medical necessity and authorizes all appropriate waiver services. •Evaluates covered benefits and advises appropriately regarding funding sources. •Facilitates interdisciplinary care team (ICT) meetings for approval or denial of services and informal ICT collaboration. •Uses motivational interviewing and clinical guideposts to educate, support and motivate change during member contacts. •Assesses for barriers to care and provides care coordination and assistance to members to address psycho/social, financial, and medical obstacles concerns. •Identifies critical incidents and develops prevention plans to assure member health and welfare. •Collaborates with licensed care managers/leadership as needed or required. •50% estimated local travel may be required (based upon state/contractual requirements).

Required Years of Experience: •At least 2 years health care experience, including at least 1 year of experience working with persons with disabilities/chronic conditions long-term services and supports (LTSS), and 1 year of experience in care management, or experience in a medical and/or behavioral health setting, or equivalent combination of relevant education and experience.

Must Have Skills: •Demonstrated knowledge of community resources. •Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. •Ability to operate proactively and demonstrate detail-oriented work. •Ability to work independently, with minimal supervision and self-motivation. •Ability to demonstrate responsiveness in all forms of communication, and remain calm in high-pressure situations. •Ability to develop and maintain professional relationships. •Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. •Excellent problem-solving, and critical-thinking skills. •Strong verbal and written communication skills.

About the Company

Lancesoft

We are a $125 Million, NMSDC-certified Minority & Woman owned Workforce Solutions Company headquartered in the DC metro area with presence across US with global presence - Canada, Mexico, India, UK, Malaysia, Indonasia, Hongkong, Singapore, UAE. We are specialized in providing Workforce Solutions, SOW project delivery, Engineering Solutions, Creative Services. We currently support 100+ Fortune companies globally and across multiple industry segments. We are currently supporting several massive programs across industry segment nationally/globally (Intel, Ally, AMD, QUALCOMM, Morgan Stanley, Kraft/ Mondelez, MNP, Amdocs, Dell, SanDisk, Medtronic, Becton Dickinson, GE, Lockheed Martin, UTC, L-3 Communications, Caterpillar, BMW, Mercedes Benz, National Grid, Dominion, Energy Future Holdings, PSEG, 3M, Fidelity, Aetna, Humana, Johnson & Johnson, Pfizer, Merck etc).

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender, identity, national origin, disability, or protected veteran status.

COMPANY SIZE

2,000 to 2,499 employees

INDUSTRY

Staffing/Employment Agencies

FOUNDED

2000

WEBSITE

http://www.lancesoft.com/