Description:RN Care Manager is responsible for clinical assessment, member-centered care plan development, ongoing care coordination, quality assurance and monitoring of services to program members, who may by older adults and/or individuals who have intellectual or physical disabilities. - achieve member outcomes and goals through adherence to standards of care and best practices - Interacts with members and their families with the highest level of respect, compassion and integrity - Identifies and/or participates in efforts to continuously improve the quality of member care and services fosters our member-centered culture on a daily basis - participates in efforts to enhance work experiences - actively seek and participate in training and development opportunities - support the achievement of operational goals by adhering to operational standards, and complying with contractual, regulatory, and CCI policy requirements and expectations - completes discipline-specific initial and ongoing comprehensive assessments - conducts home visits and home assessments as needed, and consults w/ families and other supports for additional information as needed - Uses critical thinking to optimize members' health and quality of life to reach goals - Develops and maintains care plans - educate members and familiesSkills:case management, medicare, medicaid, managed care, badgercare, healthcare industry, healthcare management system, social work, psychology, human services, certified functional screener, healthcare management, prior authorizationTop Skills Details:case management,medicare,medicaid,managed care,badgercare,healthcare industry,healthcare management systemAdditional Skills & Qualifications:Bachelors Degree in Social work, psychology or human services and 18 months experience working with older adults or persons with physical and/or intellectual disabilities in a social service capacity also qualified OR Masters Degree in Social work/Psychology, Human Services or related field
Experience Level:Entry LevelAbout Actalent: Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We’re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.