AbsoluteCare
Complex Care Manager-Community
Hybrid: Community Based and Home Based
Job Summary:
The Complex Care Manager is assigned providers in the Community. Members are assigned to the CCM based health instabilities, utilization and healthcare spend. The CCM completes a comprehensive assessment and creates a person-centered care plan that identifies and prioritizes health care goals with the member. The CCM supports members meeting their goals through clinical interventions, education, motivational interviewing, self-management coaching and complex case management service including navigation of health plan benefits. The CCM coordinates the services with our community primary care providers, health plan programs, AbsoluteCare services, community resources, and specialists required to meet the member’s individual needs and meet value-based outcomes. The CCM meets members where they are with the flexibility to conduct member visits telephonically, via telehealth, in the home, community and/or office setting including the Comprehensive Care Center.
Education and Experience:
Licensed clinician (RN, LCSW, LMSW, LMHC, LPC) by the state in which practicing and abide by all laws, regulations, and requirements. Preference given to qualified case managers with CCM credentials. CMGT-BC, CCTM, C-SWCM, C-ASWCM, ACM or FAACM will be considered.
Preference will be given to RN or licensed clinician with extensive experience in chronic condition and medical case management in the community.
In lieu of CCM credential, 3+ integrated case management experience. Must obtain CCM within 24 months of hire date.
3+ years of experience in serving the needs of complex populations, including medically complex, trauma history, mental health conditions, substance abuse, and socioeconomic barriers in an office or community-based setting.
Preference given to qualified candidate with multiple settings experience (Inpatient, LTPAC, home health, corrections, community programs and/or human service agencies.)
Experience with complex government-sponsored populations preferred, e.g., Medicaid, Medicare beneficiaries.
Experience with member engagement, transitions of care, clinical care, and/or case management
Must be willing to travel to meet the member where they are and support their care including specialist offices, outpatient centers, dialysis centers.
Active unencumbered driver’s license, with automobile insurance, reliable transportation, and ability to work in office and in the community.
AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.