Care Manager Mom and Baby RN - Must Reside in Indiana

Job Summary:The Care Manager collaborates with members of an inter-disciplinary care team (ICT), providers, community and faith-based organizations to improve quality and meet the needs of the individual, natural supports and the population with culturally competent delivery of care, services and supports. Facilitates communication, coordinates care and service of the member through assessments, identification, person-centered planning, assist the member in creation and evaluation of person-centered care plans to prioritize and address what matters most, behavioral, physical and social determinants of health needs with the aim to improve the of lives our members.  Essential Functions:Engage the member and their natural support system through strength-based assessments and a trauma-informed care approach using motivation interviewing to complete health and psychosocial assessments through a health equity lens unique to the needs of each member that identify the cultural, linguistic, social and environmental factors/determinants that shape health and improve health disparities and access to public and community health frameworksFacilitate regularly scheduled inter-disciplinary care team (ICT) meetings to meet the needs of the memberEngage with the member to establish an effective, professional relationship via telephonic or electronic communicationDevelop and regularly update a person-centered individualized care plan (ICP) in collaboration with the ICT, based on member’s desires, needs and preferencesIdentify and manage barriers to achievement of care plan goalsIdentify and implement effective interventions based on clinical standards and best practicesAssist with empowering the member to manage and improve their health, wellness, safety, adaptation, and self-care through effective care coordination and case managementFacilitate coordination, communication and collaboration with the member the ICT in order to achieve goals and maximize positive member outcomesEducate the member/ natural supports about treatment options, community resources, insurance benefits, etc. so that timely and informed decisions can be madeEmploy ongoing assessment and documentation to evaluate the member’s response to and progress on the ICPEvaluate member satisfaction through open communication and monitoring of concerns or issuesMonitors and promotes effective utilization of healthcare resources through clinical variance and benefits managementVerify eligibility, previous enrollment history, demographics and current health status of each memberCompletes psychosocial and behavioral assessments by gathering information from the member, family, provider and other stakeholdersOversee (point of contact) timely psychosocial and behavioral assessments and the care planning and execution of meeting member needsParticipate in meetings with providers to inform them of Care Management services and benefits available to membersAssists with ICDS model of care orientation...