Job Description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
An employee in this role provides telephonic and as needed in-home assessments of members’ medical, psychosocial, physical and spiritual needs. He/She develops, implements, and monitors person centered service plan, and ensures continuity of care across all healthcare settings by collaborating with the interdisciplinary team, PCP, member/member’s representatives, and specialists. Utilizes benefit structure and community-based resources to meet member’s needs. Educates members on disease processes, preventative health, and quality of life interventions. SW Care Manager will be knowledgeable in and adhere to CMS/DOH regulations and policies.
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