BC Forward is currently seeking a highly motivated OHCW Community Based Care Manager in Columbus Ohio
Job Title: OHCW Community Based Care Manager Location: Columbus Ohio Job Type:Full Time 40 Hours Contract Pay Range:$45 to $48/hr
(Please note that actual compensation may vary within this range due to factors such as location, experience, and job responsibilities, and does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.).
Start Date: ASAP
Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.
Job Summary:
The OHCW Community Based Care Manager is responsible for working with adult individuals and their care team to develop a person-centered care plan to address their home and community-based needs, and collaborates with members of an inter-disciplinary care team (ICT) to meet the needs of the individual and the population, identifying problems or opportunities that would benefit from care coordination. The Care Manager is responsible for assessment and care management of long-term care clients of any age enrolled on waiver programs.
Qualifications:
Education and Experience:
Nursing degree from an accredited nursing program or bachelor's degree in health care field or equivalent years of relevant work experience is required
Minimum of 1 year paid clinical experience in home and community-based services is required
Three (3) years or more Medicaid and/or Medicare managed care experience is preferred
Competencies, Knowledge, and Skills:
Intermediate proficiency level with Microsoft Office, including Outlook, Word, and Excel
Ability to communicate effectively with a diverse group of individuals
Ability to multi-task and work independently within a team environment
Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
Adhere to code of ethics that aligns with professional practice
Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
Strong advocate for members at all levels of care
Strong understanding and respect of all cultures and demographic diversity
Ability to interpret and implement current research findings
Awareness of community & state support resources
Critical listening and thinking skills
Decision making and problem-solving skills
Strong organizational and time management skills
Ability to maintain confidentiality
Ability to use and transport a laptop computer and case, therefore must be able to lift/carry a minimum of 20 pounds
Must have a car available during working hours, as well as the ability to legally drive a car
Licensure and Certification:
Current and unrestricted license as a Registered Nurse (RN), Licensed Social Worker (LSW), or Licensed Independent Social Worker (LISW) in the State of Ohio required
Case Management Certification is highly preferred
Must have valid driver's license, vehicle, and verifiable insurance. Employment in this position is conditional pending successful clearance of a driver's license record check and verified insurance. If the driver's license record results are unacceptable, the offer will be withdrawn or, if employee has started employment in position, employment in the position will be terminated.
Employment in this position is conditional pending successful clearance of a criminal background check. Results of the criminal background check may necessitate an offer of employment being withdrawn or, if employee has started in position, termination of employment.
To help protect our employees, members, and the communities we serve from acquiring communicable diseases, Influenza vaccination is a requirement of this position. CareSource requires annual proof of Influenza vaccination for designated positions during Influenza season (October 1 - March 31) as a condition of continued employment. Employees hired during Influenza season will have thirty (30) days from their hire date to complete the required vaccination and have record of immunization verified.
Adheres to all federal, state, and local regulations. CareSource provides reasonable accommodations to qualified individuals with disabilities or medical conditions, sincerely held religious beliefs, or as required by state law to enable the employee to perform the essential functions of the position. Request for accommodations will be completed through an interactive review process.
Working Conditions:
This is a mobile position, meaning that regular travel to different work locations, including homes, offices, or other public settings, is essential. Will be exposed to weather conditions typical of the location and may be required to stand and/or sit for long periods of time.
Must reside in the same territory they are assigned to work in; exceptions may be considered, due to business need
May be required to travel greater than 50% of time to perform work duties.
Required to use general office equipment, such as a telephone, photocopier, fax machine, and personal computer
Flexible hours, including possible evenings and/or weekends as needed to serve the needs of our members
Duties and Responsibilities:
Make Level of Care determinations to determine member program eligibility as part of initial, annual, and event-based assessments
Engage the member to complete program specific initial, annual, and event-based assessments evaluating program eligibility and needs, taking into account the cultural and linguistic needs of each member
Assess for service needs, authorize services, and arrange for service delivery
Development and implementation of comprehensive person-centered care plan/service plan, in collaboration with the interdisciplinary care team, based on member's needs and preferences to achieve optional member outcomes
Employ ongoing assessment and documentation to evaluate the member's response to and progress on the PCSP
Facilitate and coordinate services based upon the care treatment plan developed in collaboration with all stakeholders
Evaluation of care/service plan on an ongoing basis through member, family, provider, and stakeholder contact
Identify and manage barriers to achievement of care plan goals
Identify and implement effective interventions based on clinical standards and best practices
Assist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case management
Educate the member/caregivers about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be made
Evaluate member satisfaction through open communication and monitoring of concerns or issues
Collaborate with facility-based case managers and providers to plan for post-discharge care needs or facilitate transition to an appropriate level of care in a timely and cost-effective manner
Coordinate with community-based case managers and other service providers to ensure coordination and avoid duplication of services
Document current list of medications and assist with medication adherence (linkage/resources)
Document care coordination activities and member response in a timely manner according to standards of practice and CareSource policies regarding professional documentation
Facilitate interdisciplinary care team meetings to meet the needs of the member
Facilitate coordination, communication, and collaboration with the members of the interdisciplinary care team in order to achieve goals and maximize positive member outcomes
Engage with the member in a variety of settings to establish an effective, professional relationship. Settings for engagement include but are not limited to hospital, provider office, community agency, member's home, telephonic or electronic communication
Adhere to the reporting requirements for incidents and prevention from harm planning
Look for ways to improve the process to make the members experience with CareSource easier and shares with leadership to make it a standard, repeatable process
Actively participate in team meetings
Regular travel to conduct member, provider and community-based visits as needed to ensure effective administration of the program
Regularly verify Medicaid eligibility
On-call responsibilities as assigned
Perform any other job duties as requested
Benefits:
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.
About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally. BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work. BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process. This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.
Interested candidates please send resume in Word format Please reference job code 229817 when responding to this ad.
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