RN Case Manager

Day to Day:
1.Conduct, review and document comprehensive clinical and/or psychosocial assessments and on-going follow-up interventions to measure progress towards meeting goals as they relate to a member's physical, psychosocial, environmental, safety, developmental, cultural and linguistic needs.
2. Maintain case files by assuring that they are documented in accordance with SCFHP
policies and procedures, state and federal requirements and organized in a manner that
adheres to standards for audit requirements.
3. Facilitate involvement of the member and/or family/responsible party for development and
implementation of a member specific care plan which includes individualized prioritized
goals.
4. Coordinate member's care with PCP, Specialists, Behavioral Health and Long Term
Services and Supports providers to assist member to achieve or maintain a level of
functional independence which allows them to remain at home or in the community.
5. Facilitate and coordinate communication with member's interdisciplinary care team
including SCFHP internal staff, as well as the member's physicians, specialists, public
services, community agencies and vendors to ensure care plan development and
coordination of benefits and services.
6. Facilitate successful transition of care for members who move between care settings by
coordinating services for medical appointments, pharmacy assistance and by facilitating
utilization review.
7. If assigned to MLTSS, support the transition of long-term care members residing in nursing
facilities to a lower level of care, or community setting in partnership with MLTSS
providers and programs.
8. Conduct telephonic and/or visits/assessments, as needed in the home, facility or community
setting.
9. Collaborate with team members on cross-departmental improvement efforts, quality
improvement projects, optimization of utilization management, and improvement of
member satisfaction.
10. Attend and actively participate in Health Services meetings, operational meetings, training
and coaching sessions, including off-site meetings as needed.
11. Perform other duties as required or assigned.

About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

Aerotek is acting as an Employment Agency in relation to this vacancy.