The Care Manager provides proactive intervention and coordination of care for members to ensure appropriate assessment and service delivery. They work with multidisciplinary teams to develop person-centered care plans and facilitate transitions between different levels of care.
The Care Manager provides proactive intervention and coordination of care for members to ensure appropriate assessment and service delivery. They work within an interdisciplinary team to develop person-centered care plans and facilitate transitions between levels of care.
The Transition Coordinator leads the planning process for participants transitioning from long-term care facilities to community-based living arrangements. They are responsible for coordinating resources, managing transition teams, and providing post-transition support for at least one year.
The Care Manager provides proactive intervention and coordination of care for members to ensure appropriate assessment and service delivery. They work within an interdisciplinary team to develop person-centered care plans and facilitate transitions between levels of care.
The Regional Director develops and maintains collaborations among local agencies, community stakeholders, and political units to identify and resolve system barriers. They also serve as a member of the agency's leadership team, representing regional needs and promoting community-driven healthcare solutions.
The reviewer conducts prepayment and post-payment audits of inpatient medical records to ensure coding accuracy and compliance with clinical documentation standards. They also identify aberrant utilization patterns, participate in appeal processes, and provide technical assistance to healthcare providers.
The Peer Support Specialist provides in-reach, engagement, and education to adults with serious mental illness regarding community-based services and supported housing options. They are responsible for maintaining a caseload, conducting regular visits, and coordinating with care management teams to facilitate successful transitions.
The Physical Health Registered Nurse performs clinical reviews to determine medical necessity for service authorization requests and coordinates care with providers. They also participate in discharge planning and ensure timely documentation within the managed care information system.
The Diversion Specialist provides screenings and case management to individuals at risk of entering Adult Care Homes to facilitate community-based alternatives. They collaborate with community stakeholders and providers to ensure person-centered treatment planning and effective service coordination.
The Transition Coordinator is responsible for providing proactive coordination of services for individuals transitioning from institutional settings to home and community-based care. This role involves developing holistic transition plans, managing caseloads, and collaborating with community providers to ensure continuity of care.
The TCL Community Liaison provides education and training to stakeholders regarding the Transitions to Community Living program and the RSVP process. They also identify service gaps, resolve system barriers, and coordinate care for members across various community settings.
The Transition Coordinator provides proactive intervention and coordination services to assist individuals transitioning from institutional settings to community-based living. They are responsible for developing transition plans, managing caseloads, and collaborating with community providers to ensure continuity of care.
The Diversion Specialist provides screenings and case management to individuals at risk of entering Adult Care Homes to facilitate community integration. They collaborate with community stakeholders and providers to develop person-centered treatment plans and ensure appropriate service utilization.
The Peer Support Specialist provides in-reach, engagement, and education to adults with serious mental illness regarding community-based services and supported housing options. They are responsible for maintaining a caseload, conducting regular visits, and coordinating with care management teams to facilitate successful transitions.
The Transition & Housing RN performs nursing assessments and care coordination for medically fragile adults transitioning from Adult Care Homes into the community. The role involves collaborating with behavioral health providers and community partners to ensure effective care planning and medication reconciliation.
The Housing Specialist manages housing programs and initiatives to support individuals with mental health, substance use, and developmental disabilities in finding integrated housing. They are responsible for landlord engagement, housing navigation, and ensuring compliance with state and federal housing regulations.
The Registered Nurse performs nursing assessments and care coordination for medically fragile members transitioning from skilled nursing facilities to the community. They collaborate with medical and behavioral health providers to develop care plans, ensure safety, and provide patient education.
