NextStep Care

– a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion  in a non-profit, mission-driven organization that’s known for the highest level of care in our communities

SUMMARY

Responsible for serving as the Care Management Services’ member liaison and representative by ensuring the goals of the program and those of individual members are met through primary care enhanced case management.  A primary function of this position is to complete member assessments. 

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Observes members in their home environment gathering medical, environmental, and psychosocial data for review by the multidisciplinary team.
• Accepts referrals and ensures potential members are screened in a timely manner as required by organization and governmental policies.
• Addresses member or caregiver concerns effectively and efficiently.
• Assist in carepath developments, recommending HCBS services and incorporating roles for informal caregivers.
• Records and documents member information completely and accurately in accordance with federal, state, and operational guidelines.
• Works to preserve the essential role of the family and informal caregivers in assisting embers in meeting carepath goals and addressing social risk by following up on needs identified in data gathered from members/caregivers.
• Makes recommendations to multidisciplinary team that address primary care needs
• In conjunction with the Care Manager for Care Management Services and the multidisciplinary team, assists in removing barriers to primary and specialized medical care, to support optimal health and functional status.
• Collborates with effectively with the Quality Department in resolving items needing  additional information or clarification when identified on assessment review, to ensure standards of promptness and members needs are met in a timely manner.
• Advocate for informed decisions by members and caregivers regarding their health stauts and options for treatment or care.
• Promotes quality outcomes through effective collaboration with the Quality Assurance and education Coordinator, Assessment Coordinator, and Administrator to ensure effective implementation of education plans, initiative, or processes.
• Utilizes technology to promote workflow efficiency and to facilitate data collection, management and analysis.
• Takes call on a rotating basis as assigned.
• Provides on-site assistance for all state surveys.
• Reports corporate compliance concerns appropriately.
• Reports privacy and security concerns appropriately.
• Reports work time and business expenses in accordance with organizational guidelines.
• Maintains prompt, accurate and secure documentation as it relates to member needs, contacts and plans.
• Maintains prompt, accurate, secure documentation as it relates to member needs, contacts and plans.
• Ensures appropriate documentation is filed promptly in members’ chart as outlined in Care Management.
• Assists with Assessment Nurse Case Manager duties for other Care Management Services’ locations as needed
• Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
• Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.
• Performs other duties as necessary to ensure the success of the System.

SKILLS AND ABILITIES

•  Completes work in a timely, accurate, and efficient manner.
• Ability to organize and prioritize assignments/responsibilities.
• Maintains constructive working relationships by communicating and interacting effectively with supervisors, organizational leadership, peers and individuals inside and outside the Organization, in a positive, professional and respectful manner
• Portrays a positive image of the organization and communicates guiding principles, mission, vision and values.
• Completes work in a timely, accurate, efficient and thorough manner and is conscientious about assignments/responsibilities.
• Consistently reports to work on time prepared to perform duties of the position.
• Manages multiple deadlines with demonstrated flexibility in working with changing priorities.
• Ability to work a demanding, primarily self directed work schedule.
• Demonstrates good judgment and decision making.
• Exhibits exceptional organizing and planning skills.
• Ability to deliver excellent customer service, externally and internally as well as maintain customer confidentiality.
• Ability to react effectively and calmly in emergency situations.

MINIMUM QUALIFICATIONS

·Valid Georgia LPN license with 2 years  of experience in the health and human services field  

·Experience in social work, home and community based services, healthcare or geriatrics preferred.

·Valid Driver’s License.

·Reliable transportation.

SUPERVISORY RESPONSIBILITIES

None

LANGUAGE SKILLS

Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or associates of the organization.

MATHEMATICAL SKILLS

Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.

REASONING ABILITY

Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram format.  The ability to deal with problems involving several concrete variables in standardized situations.

COMPUTER APPLICATION SKILLS

This job requires proficiency with the following computer applications:

Microsoft Outlook                  Microsoft Excel                      Microsoft Word

CERTIFICATES, LICENSES, REGISTRATIONS

Please see minimum qualifications

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the associate is regularly required to sit, talk or hear.  The associate frequently is required to walk.  Use hands to finger, handle or feel and reach with hands and arms.  The associate is occasionally required to stand.  Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.

EEO / M / F / D / V / Drug Free Workplace

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