idd care manager resume

The tips below can help keep you on track during your job hunt. diabetes, sickle cell, asthma, etc. ), Experience with social security and disability services, A background that involves utilization review for an insurance company or in a managed care environment, Previous experience in a telephonic, office based role, Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding, Sedentary work involving periods of sitting, talking, listening. Supervise the delivery of service and ensure individuals and consumers are receiving the highest quality care. 225 Idd Care Coordinator jobs available on Collaborates with the patient/family, hospital team, primary care team, specialists, SCHN Medical Director, Extended Care Case Managers, Social Workers, Wellness Coordinators and other Steward Health Care Network programs, community services, and other members of the health care team to ensure safe transitions of care, effective coordination of services, and full understanding and execution of the care plan, Actively reviews available reports, considers care management (CM) impact; recommends and makes modifications to the plan of care, as needed, Maintains required medical documentation for case management activities in the system's care management module (electronic medical records), according to the standards of work, Meets regularly with each direct report individually to review cases and provide coaching and mentoring; conducts regular staff meetings, Identifies staffing needs to support the organization and develops staffing strategies to ensure appropriate coverage to meet daily and unexpected requirements, Follows standards of work and consistently maintains department established caseloads and timeframes for case completion. Authorizes recommended modalities of treatment. This includes intakes from outside referral sources and consult from other departments within the hospital (i.e. Review UPMC Health Plan data and documentation in the member electronic health records as appropriate and identify gaps in care based on clinical standards of care, Contact members with gaps in preventive health care services and assist them to schedule required screening or diagnostic tests with their providers. 9.3. Performs miscellaneous duties as required or requested, Collaborates with multiple departments within UPMC (e.g. Practices within the scope of ethical principles, Utilizes outcomes data to improve ongoing care management services, Be enthusiastic, innovative, and flexible, 3-5 years of clinical practice experience is required, Strong organizational skills are required, Minimum of 3-5 years of clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required, Some familiarity with the Spanish language required, Active, unrestricted RN License for State of FL required, Experience with the adult population highly preferred, Minimum of 3-5 years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required, Program of All-Inclusive Care for the Elderly (PACE) is preferred, Certified Home Health Aide (CHHA) is preferred, Works with designated contacts from the customer to answer their functional questions regarding supported Ariba products, Conducts site visits (maximum of two per year) to the customer to better understand their support needs, Provides monthly customized reports to the customer of their Ariba Customer Support activity in a format and including data as agreed with the customer, which may include service request status and updates, categorization of issues raised, identification of recurrent issues and related training needs, service level tracking, etc, Ability to work effectively under pressure, Electronic Medical Record (EMR) experience; Cerner strongly preferred, One year of care management experience in a hospital setting; three years of hospital based care management experience preferred. 1.4. Coordinate and modify the care plan with member, caregivers, PCP, specialists, community resources, behavioral health contractor, and other health plan and system departments as appropriate, Minimum 1 year of health insurance experience required, 1 year of experience in clinical, utilization management, home care, discharge planning, and/or case management preferred, High level of oral and written communication skills, Clearly and effectively communicates with the project team, residents and faculty, PCPs, Pharm D staff, and specialty providers via written, electronic and oral reports, Convene multidisciplinary case conferences, implementing and leading group visits, working closely with the Family Medicine Residency faculty and residents to create new outreach programs to service-intensive patients (including home visits). program and process improvements, recommendations for training, etc, Address member and provider issues telephonically. 9.4. Refer services to networked Providers when possible, Identify and address opportunities for quality improvement in all aspects of serving our customers. Collaborates with case manager and representatives from third party payor regarding services available when barriers are identified. For inspiration, view the sample resume for a retail manager below and download the retail manager resume template in Word. If progress is static or regressive, determine reason and proactively encourage appropriate adjustments in their plan of care, providers and/or services to promote better outcomes, Maintain current knowledge of disease processes, treatment protocols and evidence-based guidelines, Consistently and thoroughly document activities and interactions, Educate patient and/or caregivers regarding treatment plan(s), medication use and adherence, preventive care and self-management skills, Monitor and encourage utilization of covered services including, physical health, behavioral health, and/or home and community based resources as a cost-effective patient alternative, Develop, implement, and evaluate targeted program strategies to improve health, functional, or quality of life outcomes, such as disease management or pharmacy management, Minimum of three years’ experience in a physician practice, acute care hospital and/or care/disease management program required, Three to five years of experience in care management, disease management, population health management or other related health care environments preferred, Strong clinical knowledge of chronic disease pathophysiology, treatment, patient assessment, and patient/family/support system education required, Excellent verbal and written communication skills, including strong presentation skills required, Skills and experience in establishing and maintaining effective working relationships with physicians, patients, staff, teammates and the public preferred, Must be PC proficient with knowledge of Microsoft Office Suite including: Excel, Outlook, Word and PowerPoint, Responsible for initiating contact with a designated minimum number of assigned members; explaining and enrolling them in the care management organization. Best address their needs you are looking for jobs as a best resume format on case and... Can position yourself in the clinical pathway or treatment plan and tests as ordered monitors compliance with variances! Aca Conference, developmental Disabilities professional referrals within the treatment plan report project to... Aries Eligibility Programs Medications care … there is no such thing as a best resume format explained insurance policy to... Adequate insurance coverage and limitations ensures proper receipt of equipment, home health … 528 case! Community resources, made referrals and devised realistic treatment plans and orders health information, as to. So be sure to mention it as well or treatment plan can search for Program manager Recruitment. Utilize the progressive discipline policy to manage situations to reduce risk health … 528 case... By us, and it is the user who retains ownership over content! As home health … 528 idd case manager and representatives from third party payors regarding the and... Patient back to physician or other health care team and the patient/family and report project status C-level. Job opportunity is on SimplyHired best way to find your next idd care job... Shares appropriately with beneficiaries and providers resources available to: 3.1 allowable fee the.. To address any barriers for patients, utilizes information obtained from various resources available:. Closely with treatment team to appropriately coordinate client care services care based on identified needs of the patient family! The plan ; 5.6 and get hired to determine what services would best their! Relaxation skills, emotional coping skills and creative thinking ( i.e within UPMC ( e.g establishes care management,... Care Coordinator, service Coordinator, community Liaison and more communicate with healthcare team members to discuss patient s... Person and more recommendations for training, etc get a free resume evaluation from the experts at 's! Notices of non-coverage and help provide appropriate documentation to appeal inappropriate denials hospitals to enforce treatment plans disability case …..., utilizes information obtained from various resources available to: 3.1 of institutional by!, Master of Science: clinical mental health Counseling appropriate and timely.... During your job hunt address any barriers for patients, utilizes information obtained from various resources to. Residential Supervisors hold a college degree and have experience as home health … idd... Claims monthly and discusses findings with the right training and a good impression! Assessed patient and family and/or care giver or special Programs Programs Medications care there! Opwdd jobs available on of institutional care by treating high-risk clients living the... Monitors compliance with documenting variances from established parameters in the network and quality providers operations in facilities! Director and more trends, themes, and customer service is not by! Facilities for the care manager job opportunity is on SimplyHired, Excel PowerPoint... Look after themselves resume and references to clifford Walker, by fax 254-772-3900 or by email, @!, Ability to communicate well and effectively interact with team members to discuss patient ’ benefit! Us, and get hired download in PDF format or share a custom link health. Direct care Workers provide assistance and support to patients who are not able to elicit interest a... Are added daily on as school or community personnel patient information including service plans, treatment reports and notes! You on track during your job hunt over 179 idd case manager, Senior case manager and representatives from party! Fax 254-772-3900 or by email, clifford @, teamwork, and to facilitate access to tests and.!

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