The Care Management Specialist I provides supportive outreach and engagement to members while assisting Care Managers in delivering tailored services. They facilitate programs to improve health literacy, schedule appointments, and coordinate community-based resources for members.
The Care Transitions Nurse provides clinical assessment and care coordination to ensure safe and effective transitions between healthcare settings. They evaluate medical needs, collaborate with providers, and monitor clinical status to ensure alignment with treatment plans.
The Quality Data Analyst II is responsible for conducting data analysis, reporting, and quality improvement activities to ensure compliance with contract requirements and accreditation standards. This role involves synthesizing complex data to identify trends and presenting findings in a user-friendly format for internal and external stakeholders.
The Care Transitions Specialist II manages care transition activities to ensure successful discharges and service changes for individuals with complex needs. They develop transition plans, collaborate with providers to align services, and actively resolve barriers to continuity of care.
The Manager oversees an integrated team of professionals to provide localized support and whole-person care for members with complex needs. They are responsible for monitoring team performance, ensuring compliance with workflows, and providing coaching to support professional development.
The Peer Support Specialist provides care coordination and support to individuals transitioning from incarceration back into the community. They educate members on navigating behavioral health and social services while facilitating linkages to housing, employment, and treatment resources.
Provide complex, ongoing care coordination and advocacy for members with intellectual or developmental disabilities, with a particular focus on children with autism spectrum disorder. Assess member needs, develop and monitor individualized care plans, and coordinate services with families, providers, agencies, and community resources.
The Quality Management Specialist II is responsible for monitoring services for members receiving Home and Community Based Services to ensure compliance with state standards and waiver requirements. This role involves conducting announced and unannounced visits, reviewing service documentation, and collaborating with the care management team to ensure quality support.
The Care Manager provides complex care coordination and monitoring for members with intellectual or developmental disabilities, including those with secondary mental health or substance abuse needs. They utilize person-centered planning to gather information, educate members on service options, and facilitate multi-disciplinary collaboration.
The Care Manager serves as the primary point of contact for members, coordinating whole person-centered care across multidisciplinary teams. They are responsible for conducting comprehensive assessments and developing, implementing, and monitoring individualized care plans to address physical, mental, and social health needs.
