Conduct telephonomic assessments of members' medical, psychosocial, physical, and spiritual needs.
Develop and revise Person-Centered Service Plans (PCSP) in response to changes in member condition.
Collaborate with interdisciplinary care teams and educate members on Advanced Directives and Health Care Proxy.
Elderplan and HomeFirst are Medicare and Medicaid managed care health plans designed to help keep people independent. MJHS is a supportive community of over 6,000 employees committed to excellence, respect, and providing high-quality, personalized health care services.
Collaborate with interdisciplinary team members to deliver comprehensive virtual care services to patients.
Provide support for patients and families coping with life transitions, chronic illnesses, and other psychosocial challenges.
Develop and implement individualized care plans that address patients' needs, connecting them with relevant community resources.
Interwell Health is a kidney care management company that partners with physicians. They aim to reimagine healthcare and set the standard for the industry to help patients live their best lives. They are committed to diversity, equity, and inclusion throughout their recruiting practices.
Oversee the Care Navigation program, ensuring efficient operation and successful implementation of new programs.
Manage relationships with health plan partners and oversee internal policies and procedures for care navigation activities.
Provide telephonic care navigation services to individuals receiving services through various programs as needed.
Mom's Meals is a provider of home-delivered meals. They focus on delivering medically tailored meals to individuals with chronic health conditions. The company values its team members and strives to show it through benefits and other offerings.
Serve as the primary on-call Care Manager, exercising independent judgment to assess urgent situations and coordinate timely responses.
Provide comprehensive care management support for urgent client needs during evenings and weekends.
Document interactions and maintain professionalism, discretion, and compassion in high-pressure situations.
Sage Eldercare Solutions enhances quality of life for older adults through comprehensive care management. Since 2001, our team of nurses, social workers, and gerontologists, supported by art, music, and recreational therapists, provides personalized care with a collaborative culture emphasizing work-life balance and lifelong learning.
Manage a caseload of ECM members with complex behavioral health needs.
Conduct in-person home visits and community-based meetings.
Utilize brief behavioral health therapeutic interventions as necessary.
Zócalo Health is a tech-enabled, community-oriented primary care organization serving people who have historically been underserved by the one-size-fits-all healthcare system. Founded in 2021, Zócalo Health is backed by leading healthcare and mission-aligned investors and is scaling rapidly across states and populations.