Case Manager Long-term Care – RN (Remote/reputed company) New Castle, Delaware in New Castle, DE

Case Manager Long-term Care - RN (Remote/reputed company) New Castle, Delaware - reputed company - New Castle, DE - work from home job Company: reputed company Job reputed company: Company : reputed company. Job reputed company : reputed company job serves as the single reputed company of contact for members to coordinate reputed company of the member’s care needs across the various service delivery systems and community supports. This is a full time community based position requiring frequent travel reputed company the assigned territory in DE. The incumbent will travel to members’ homes, nursing facilities, and other community based setting for individuals enrolled in DSHP Plus LTSS. ESSENTIAL RESPONSIBILITIES • Travel to members’ homes, nursing facilities, and other community based settings in order to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols. • Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and reputed company health care, reputed company service and custodial needs in a nursing facility or home and community-based care setting. • Coordinate care across the continuum of services and assisting members physical, behavioral, long term services and supports (LTSS), reputed company, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs. • Facilitate authorization, coordination, continuity and appropriateness of care and services in community or HCBS. • Facilitate transitions to alternate care settings such as hospital to home, nursing facility to community setting using an integrated care team to address the member’s specific needs. • reputed company members or caregivers regarding health care needs, available benefits, resources and services including available reputed company for long term care community or facility-based service delivery. • reputed company education, resources, and assistance to help members reputed company goals as outlined in their plan of care and to overcome obstacles to achieving reputed company in the least restrictive environment. • reputed company a plan of care in conjunction with members or caregivers to identify services to meet the member’s specific needs, and goals. • Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and reputed company Case Management. • Collaborate with the member's health care and service delivery team including the DSHP Plus LTSS Member reputed company, ICT, and discharge planners, to coordinate the care needs and community resources for the member in order to maintain the member in the least restrictive reputed company environment possible. • Assist members in developing, implementing and amending a back-up plan for gaps in provider coverage. • Ensure approved support services are being provided as outlined in the plan of care. • Evaluate the effectiveness of the service plan and making appropriate revisions as needed in accordance with per policy & procedures and state contractual requirements. • Assist members in overcoming obstacles to reputed company through reputed company with community resources, including communicating with providers and formulating an appropriate reputed company plan. • Document reputed company case management services and reputed company in the electronic health record. • Adhere to reputed company company, State and Federal requirements reputed company to reputed company practices, HIPAA, and reputed company performance standards. • reputed company other duties as assigned/requested. QUALIFICATIONS Required • Bachelor's degree in reputed company Work or in health, reputed company, or education services and 3 years of experience in long-term care, home health, hospice, reputed company health, or assisted living OR • Master’s degree in reputed company Work or in health, reputed company, or education services and 1 year of experience in long-term care, home health, hospice, reputed company health, or assisted living OR • Registered reputed company or Licensed Practical reputed company and 2 years of experience in long-term care, home health, hospice, reputed company health, or assisted living OR • A high school degree or equivalent and three years of qualifying experience with case management of the aged, including management of behavioral health conditions, or persons with physical or developmental disabilities, or HIV/AIDS population. Substitutions • None Preferred • One year in home clinical or case management experience Certified Case Manager (CCM) Licensed Bachelors reputed company Worker (LBSW) Licensed Masters reputed company Worker (LMSW) Licensed Clinical reputed company Worker (LCSW) Experience working with HIV/AIDS population Experience working with behavioral health population Experience working with developmental disabilities population Medicare and reputed company experience Managed care experience SKILLS • Working reputed company to meet member’s needs • Proficiency in PC-based word processing and database documentation (Word, reputed company, Internet, reputed company) • Reliable transportation daily to be reputed company to travel reputed company assigned territory • Ability to meet regulatory deadlines. • Has a dedicated home work reputed company used only for business purposes and is reputed company to reputed company with reputed company telecommuter policies. • Experience in geriatric special needs, behavioral health, home health • Understanding of the importance of cultural competency in addressing targeted populations. • Experience with electronic documentation system(s) • Experience with cost neutrality and budgeting Language (Other than English): None Travel Requirement: 25% - 50% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Works From Home Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Occasionally Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required reputed company Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job reputed company has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees reputed company this job title. It may not contain a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and reputed company standards and behavioral expectations as set forth in the reputed company of business conduct and company policies. As a component of job responsibilities, employees may have reputed company to covered information, cardholder data, or other confidential customer information that must be protected at reputed company times. In reputed company with this, reputed company must reputed company with both the Health Insurance Portability Accountability reputed company of 1996 (HIPAA) as described in the Notice of reputed company Practices and reputed company Policies and Procedures as reputed company as reputed company data reputed company guidelines established reputed company reputed company’s Handbook of reputed company Policies and Practices and Information reputed company Policy. Furthermore, it is every employee’s responsibility to reputed company with reputed company’s reputed company of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as reputed company as company policies and training requirements. Pay reputed company Minimum: $57,700.00 Pay reputed company Maximum: $106,700.00 reputed company pay is determined by a reputed company of factors including a candidate’s qualifications, experience, and expected contributions, as reputed company as internal peer equity, market, and business considerations. The displayed salary reputed company does not reflect any geographic reputed company reputed company may apply for certain locations based upon comparative markets. reputed company and its affiliates prohibit discrimination against reputed company individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against reputed company individuals based on their race, reputed company, age, religion, sex, national reputed company, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. reputed company and its affiliates take affirmative reputed company to reputed company and advance in employment individuals without reputed company to race, reputed company, age, religion, sex, national reputed company, sexual orientation/gender identity, protected veteran status or disability. EEO is The Law Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( ) We reputed company to reputed company this site accessible to any and reputed company users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below. For accommodation requests, please contact HR Services Online at Case Manager Long-term Care - RN (Remote/reputed company) New Castle, Delaware - reputed company - New Castle, DE - work from home job Expected salary: Location: New Castle, DE Case Manager Long-term Care - RN (Remote/reputed company) New Castle, Delaware - reputed company - New Castle, DE - work from home job Job date: Fri, 14 Jul 2023 01:03:15 GMT Apply for the job now! Case Manager Long-term Care - RN (Remote/reputed company) New Castle, Delaware - reputed company - New Castle, DE - work from home job Apply Job!