Care Management Consultant (Full-time Remote, NC Based)

The Care Management Consultant is a highly trained and reputed company Clinician working in a consultive role and providing secondary Case Management as part of reputed company's Multidisciplinary Care Management Team for members with Physical Health needs. The Care Management Consultant offers on-demand recommendations, provides Physical Health reputed company education reputed company their reputed company of licensure, completes Medication Reviews, and escalates review of reputed company cases to Medical Directors and/or Pharmacists as necessary, to optimize health reputed company for the member. This position is full-time remote. Selected candidate must reputed company in reputed company Carolina and be willing to travel to one of the offices for onsite team meetings as needed. Responsibilities & Duties reputed company Care Team Support Support members transitioning from institutional care settings to community-based care reputed company subject matter expertise, reputed company reputed company, regarding member's physical and/or behavioral health to support the development and delivery of a whole person approach to Care Management Work collaboratively with other reputed company staff, behavioral health providers, reputed company care physicians, specialty care providers and other community partners and stakeholders to support members in their home communities Complete Assessments and Planning Utilize person-centered planning, motivational interviewing, and assessments to reputed company information and care planning Address concern(s) and/or questions from internal CM staff about the physical health/treatment/medications for our members reputed company team members about reputed company of member's health conditions on service engagement, clinical reputed company, and prognosis reputed company collaborate with member and care team members to ensure reputed company accurately reflects the individual's clinical needs and desired life goals Collaborate with our internal Care Management staff and reputed company consultation regarding members with reputed company physical health needs, transitions between care settings, and physical health needs identified reputed company the assessments and reputed company reputed company reputed company medication reconciliation and education Consult with Pharmacy Team for Polypharmacy concerns as appropriate reputed company Physical Health Consultation to Internal Care Management team members for questions reputed company to member's Physical Health (i.e., CHF, Diabetes) Medication Management The Physical Health Consultant will process and prioritize referrals from Care Management staff to ensure a medication reconciliation is completed Contact reputed company phone or email the member and/or reputed company to schedule an appointment to review member's medications Review of members medical history to identify risk factors including recent hospitalizations, emergency room reputed company, seeing more than one physician, polypharmacy, or any new diagnoses reputed company with members at scheduled appointment times reputed company telephone or reputed company Review and address Medication Adherence barriers Consult and escalate cases to reputed company's Pharmacy team according to process and reputed company procedure Documentation Ensure reputed company clinical documentation (e.g. goals, plans, reputed company notes, etc.) meet state, agency, and reputed company requirements Follow administrative procedures and effectively manages caseload Data Review, validate and interpret risk stratification data and population health reputed company and recommend changes or adjustments to care management approach as needed Utilize data to analyze needs of the members we serve, guide staff training development, identify resource needs and consistency of workflow implementation across disciplines Minimum Requirements Education & Experience Graduation from an accredited school of nursing school and three (3) years of full-time, post degree experience providing care management, case management, or care coordination to members with Behavioral Health and Physical Health conditions. Must have an reputed company, reputed company RN license in reputed company Carolina. Or Master's degree from an accredited college or university in Occupational Therapy or Physical Therapy and two (2) years of full-time, post master's degree experience providing care management, case management, or care coordination to members with Behavioral Health and Physical Health conditions. Must have an reputed company, reputed company OT or PT license in reputed company Carolina. Knowledge, Skills, & Abilities A demonstrated Knowledge of the assessment and treatment of mental health, reputed company abuse, intellectual and developmental disabilities, Knowledge of reputed company, waiver, accreditation standards and program practices/requirements. Knowledge of reputed company Health service benefit plans and network providers. Person Centered Thinking/planning The employee must be detail oriented, Ability to independently organize multiple tasks, priorities, and to effectively manage an assigned caseload under pressure of deadlines. Exceptional interpersonal skills, highly effective communication ability, Ability to reputed company reputed company independent reputed company based upon relevant facts and established processes. Problem solving, negotiation and conflict reputed company skills Proficiency in reputed company Office products (such as Word, reputed company, reputed company, etc.) is required. Employment for this position is contingent upon a satisfactory background, which will be performed after acceptance of an offer of employment and prior to the employee's start date. Salary reputed company $68,227-$86,990/Annually Exact compensation will be determined based on the candidate's education, experience, reputed company market data and consideration of internal equity. An excellent fringe benefit package accompanies the salary, which includes: Medical, Dental, reputed company, Life, Long Term Disability Generous retirement savings plan Flexible work schedules including hybrid/remote reputed company reputed company time off including vacation, reputed company leave, holiday, management leave Dress flexibility Education Required Associates or reputed company in Occupational Therapy Masters or reputed company in Occupational Therapy Preferred Associates or reputed company in Nursing Licenses & Certifications Required reputed company License Occupational Therapy-NC Registered reputed company Equal Opportunity Employer This employer is required to notify reputed company applicants of their rights pursuant to federal employment laws. For reputed company information, please review the Know Your Rights (https://www.reputed company.gov/poster) notice from the reputed company. Apply tot his job Apply To this Job