About this role
Job Title: Care Manager Department: Health Services Develop and initiate client-centred, comprehensive Individual Care Plans consistent with programme guidelines, policies and procedures. Identify, arrange and monitor appropriate community services, using strong knowledge of Medicare, Medicaid and other entitlement programmes. Coordinate and facilitate patient care through assessment, evaluation, planning and implementation, communicating needs to the care team and following up as required. Manage discharge plans and work collaboratively with patients, families, physicians and nurses to ensure high-quality care. Act as the patient’s advocate regarding insurance coverage and financial assistance. Maintain a comprehensive clinical record through detailed, accurate documentation. Coordinate an interdisciplinary approach to support timely access to appropriate care, ensure continuity among providers and optimise use of resources. Apply established care transition principles, following members through the continuum of care and coordinating warm hand-offs to appropriate providers and/or health plans. Assist the UM Manager and participate in all internal and external audits. Serve as primary liaison with contracted health plans for case management activities. Protect the privacy and security of PHI in line with Medical Group/MSO policies and HIPAA requirements. Perform other duties and special projects as assigned.