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Case Manager I

Company: Centene
Location: Yakima
Posted on: July 13, 2019

Job Description:

Case Manager I - Social Work 009LQ Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. - Develop, assess and adjust, as necessary, the care plan and promote desired outcome - Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options - Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients - Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs - Provide patient and provider education - Facilitate member access to community based services - Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan - Actively participate in integrated team care management rounds - Identify related risk management quality concerns and report these scenarios to the appropriate resources - Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems Education/Experience: Bachelor's degree in Social Work. 2+ years of social work experience in an acute care or community setting. Knowledge of government sponsored managed care programs preferred. Licenses/Certifications: Current state's LMSW, LMHC or LCSW license. Clinical & Nursing USA-Washington-Yakima Coordinated Care Full-time

Keywords: Centene, Yakima , Case Manager I, Executive , Yakima, Washington

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