Job Details

This position collaborates with their interdisciplinary team members using a collaborative nursing process that assesses, plans, implements, coordinates, monitors, and evaluates options and services based on available community resources and health insurance benefits. Coordinates services provided for members with chronic conditions, acute conditions, and behavioral health needs across the lifespan to improve the quality of care and satisfaction. Identifies social determinants of health and clinical symptomology needing intervention and works within the framework of the IDT to build a longitudinal plan of care assisting members with their health care goals. Has the current knowledge of applicable regulations and laws pertaining to Hometown Health plans. Nature and Scope This position shall coordinate all components of the Care Coordination services to provide for the individual patients health care needs though the continuum of care. This includes Care Coordination which involves delib...Case Manager, Health, Manager, Patient Care, Medical Equipment, Behavioral Health, Healthcare