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Ambulatory Care Manager - MSW na Dartmouth-Hitchcock Health

Dartmouth-Hitchcock Health · Lebanon, Estados Unidos Da América · Onsite

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Overview

Facilitates the management of illness and health promotion. Provides assessment, information and referral, advocacy services, and other resource assistance to patients directly or through consultation. Manages a panel of moderate to high complexity patients for longitudinal Care Management.

Responsibilities

  • Manages and coordinates interdisciplinary care of defined populations through the care continuum from wellness through end of life from a psychological, social and environmental perspective.
  • Partners with RN Care Managers for the management of patients with medical and social needs and barriers.
  • Identifies high risk patients requiring on-going coordination of care; performs a comprehensive patient/family assessment, develops a comprehensive treatment plan that will span the continuum of psychosocial issues, implements a plan of care to provide continuing support and coordination for patient/family with multiple complex system needs
  • Utilizes innovative strategies to advocate for patient needs and negotiates complex systems to remove barriers and limitations in accessing health care in regards to psychological, social and environmental areas.
  • Monitors the patient’s transition across care settings
  • Participates in the development, maintenance, and coordination of an interdisciplinary care delivery system specific to individual patient needs and promotes effective resource utilization.
  • Provides complete psychosocial assessments of patients and families.
  • Coordinates community resources to address/meet identified needs.
  • Other duties as needed

    • Qualifications

    • Master’s Degree in Social Work (MSW) with at least one year of experience required.
    • CCM or other Care/Case Manager certification within 2 years of hire
    • Critical thinking skills, strong leadership, and communication abilities.
    • Understanding of and comfort using computers desired.
    • At least 3 years of experience working in a Care Manager role preferred
    • Collaborative team player; use of systems approach in planning, problem solving and decision making; creativity, innovation, autonomy, flexibility, receptiveness to change, and a commitment to professional growth desired.

    Required Licensure/Certifications

    • Certified Case Manager (CCM-CCMC) OR Certified Accredited Case Manager (ACM) within 2 years
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