Certified Case Manger - Philadelphia Market!!

Philadelphia, PA 19125

Posted: 08/07/2023 Job Number: 8237

Job Description

Job Summary:

The Complex Care Manager is assigned to an provider team. Members are assigned to the CCM based health instabilities, utilization and healthcare spend. The CCM completes a comprehensive assessment and creates a person-centered care plan that identifies and prioritizes health care goals with the member. The CCM supports members meeting their goals through clinical interventions, education, motivational interviewing, self-management coaching and complex case management service including navigation of health plan benefits. The CCM coordinates the services with our internal providers, health plan programs, community resources, and specialists required to meet the member’s individual needs and meet value-based outcomes. The CCM is located at the comprehensive care center; with flexibility to conduct member visits telephonically, via telehealth, in the home, community and/or other outpatient settings to support regular member engagement.

Education and Experience:

Licensed clinician (RN, LCSW, LMSW, LMHC, LPC) by the state in which practicing and abide by all laws, regulations, and requirements. Preference given to qualified case managers with CCM credentials. CMGT-BC, CCTM, C-SWCM, C-ASWCM, ACM or FAACM will be considered.

Preference given to RN candidates with experience in medical and behavioral healthcare or PMH-BC credentialed –or– SW/Counselor candidates with experience in medical settings or medical case manager roles (Infectious Disease, HIV, Hepatitis C, Organ Transplants).

In lieu of CCM credential, 3+ integrated case management experience. Must obtain CCM within 24 months of hire date.

3+ years of experience in serving the needs of complex populations, including medically complex, trauma history, mental health conditions, substance abuse, and socioeconomic barriers in an office or community-based setting.

Experience with complex government-sponsored populations preferred, e.g., Medicaid, Medicare beneficiaries.

Must be willing to travel to meet the member where they are and support their care including specialist offices, outpatient centers, dialysis centers.

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