Complex Care Manager-Community

AbsoluteCARE
US - Pennsylvania - Pittsburgh
March 14, 2024
Non-Profit

Requisition Number1196
Remote?Yes
• Why Work at AbsoluteCare?
• At AbsoluteCare, we serve the most vulnerable individuals in America.
These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses.
Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms.
We take these patients out of those spaces and turn them into members:
people who are entitled to some of the best, most focused care this country has to offer.
We call this care beyond medicine.
We have turned the doctor s office into a comprehensive care center.
Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members needs.
We make the most important services available to our members under one roof.
This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.
We don t stop at our four walls.
We engage members in the communities where we all live to find the people who need us most.
Through these community care teams, we remove the barriers to healthcare that so many people face daily.
And it works.
Our unique care is guided by our core values of accountability, caring, trust, and teamwork.
We call it ACT2.
• Hybrid:
Community Based and Home Based
• Job Summary:
• The Complex Care Manager is assigned providers in the Community.
Members are assigned to the CCM based health instabilities, utilization and healthcare spend.
The CCM completes a comprehensive assessment and creates a person-centered care plan that identifies and prioritizes health care goals with the member.
The CCM supports members meeting their goals through clinical interventions, education, motivational interviewing, self-management coaching and complex case management service including navigation of health plan benefits.
The CCM coordinates the services with our community primary care providers, health plan programs, AbsoluteCare services, community resources, and specialists required to meet the member s individual needs and meet value-based outcomes.
The CCM meets members where they are with the flexibility to conduct member visits telephonically, via telehealth, in the home, community and/or office setting including the Comprehensive Care Center.
• Education and Experience:
• Licensed clinician (RN, LCSW, LMSW, LMHC, LPC) by the state in which practicing and abide by all laws, regulations, and requirements.
Preference given to qualified case managers with CCM credentials.
CMGT-BC, CCTM, C-SWCM, C-ASWCM, ACM or FAACM will be considered.
• Preference will be given to RN or licensed clinician with extensive experience in chronic condition and medical case management in the community.
• In lieu of CCM credential, 3+ integrated case management experience.
Must obtain CCM within 24 months of hire date.
• 3+ years of experience in serving the needs of complex populations, including medically complex, trauma history, mental health conditions, substance abuse, and socioeconomic barriers in an office or community-based setting.
• Preference given to qualified candidate with multiple settings experience (Inpatient, LTPAC, home health, corrections, community programs and/or human service agencies.)
• Experience with complex government-sponsored populations preferred, e.g., Medicaid, Medicare beneficiaries.
• Experience with member engagement, transitions of care, clinical care, and/or case management
• Must be willing to travel to meet the member where they are and support their care including specialist offices, outpatient centers, dialysis centers.
• Active unencumbered driver s license, with automobile insurance, reliable transportation, and ability to work in office and in the community.
AbsoluteCare, Inc.
provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.
AbsoluteCare is a comprehensive care center with same-day service and a full pharmacy.
We welcome our most vulnerable neighbors in the communities we serve.
These are people for whom traditional healthcare isn t enough.
That s why we work so passionately and compassionately to go beyond medicine to care for them.
This means providing not only medical but behavioral health and SDoH needs, too.
Our members (we don t call them patients ) have complex medical and psychosocial conditions, so we care for the whole person.
And we meet our members where they are in the community, their home, or our comprehensive care centers.

Associated topics:
business development, case manager, case management, liaison, office manager, plan, program development, program management, project management, resource development

Read the full job description and apply online on the recuiter's web-site

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