✨ About The Role
- The role involves completing face-to-face comprehensive assessments of members within regulated timelines
- Responsibilities include facilitating waiver enrollment and disenrollment processes, developing case management plans, and monitoring care plans for effectiveness
- The job requires promoting integration of services, assessing medical necessity, and authorizing appropriate waiver services
- Conducting home visits, facilitating interdisciplinary care team meetings, and using motivational interviewing techniques are key aspects of the position
- Identifying barriers to care, providing care coordination, and developing prevention plans to ensure member health and welfare are also part of the job responsibilities
âš¡ Requirements
- Experience working with individuals with disabilities/chronic conditions and Long Term Services & Supports is essential
- Strong background in case management, disease management, managed care, or medical/behavioral health settings
- Ability to conduct face-to-face comprehensive assessments and develop care plans in collaboration with healthcare professionals and support networks
- Skilled in monitoring care plans, evaluating effectiveness, and suggesting changes as needed
- Proficient in promoting integration of services, assessing medical necessity, and authorizing appropriate waiver services