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Mindoula Health - Las Vegas, NV
posted 2 months ago
About the position
The Population Health Case Manager at Mindoula Health plays a crucial role in delivering the Population Health Program by working closely with members in the community. This position focuses on understanding members' behavioral and medical health conditions, as well as their social determinants of health needs, to help them achieve better health outcomes. The role involves outreach, education, and the creation of personalized service plans to guide member engagement and support their health goals.
Responsibilities
- Conduct meaningful outreach, provide education, and drive member enrollment.
- In partnership with the member, create a Service Plan to guide engagement based on member diagnoses, results of screenings, as well as care gaps.
- Build measurable goals for members to develop skills and/or strategies for managing challenges and triggers to reduce hospital admissions/readmissions and use of the ER, and record outcomes.
- Coordinate community resources for each member to support them in achieving their goals as outlined in their Service Plans, created with an emphasis on meeting behavioral health and medical needs, and closing gaps identified in the social determinants of health.
- Act as an advocate and liaison between the care team (family, physician, facilities, and/or agencies) and member.
- Schedule appointments, build accountability, and follow-up services for members.
- Elevate critical incidents and information regarding any quality-of-care concerns.
- Report hospital diversions, productivity, and other outcomes weekly.
- Prepare and maintain all required records, reports, consents, and members' diagnostic records.
Requirements
- Bachelor's Degree required in nursing, social work, or other health and human services discipline.
- Completion of supervised fieldwork and experience in case management, health, or behavioral health preferred.
- Experience as a Certified Case Manager (CCM), Community Health Worker (CHW) or Peer Support Specialist (PSS), or Accredited Case Manager (ACM) preferred.
- Knowledge of local resources, social determinants of health, mental health, substance abuse disorders, violence, and social issues is required.
Benefits
- Medical, dental, and vision insurance for you and dependents
- 401K
- 11 Holidays and 15 Vacation days
- 4 Wellness days
- Employee Assistance Program
- Wellness programs
- Design your own workday
- Remote technologies provided (MacBook, iPhone)
