Care Manager Lead (R.N.)
- Washington, DC
The McClendon Center, founded in 1980, is a certified community based service provider operating under the District of Columbia Department of Behavioral Health. As a leading not-for-profit organization in Washington, DC, the McClendon Center provides outpatient behavioral rehabilitation to the mentally ill by fostering creativity, promoting friendship, instilling independence, and providing an outlet for emotional growth and greater participation in the community. Accredited by Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the McClendon Center operates two programs: Day Program Services and the Core Services Agency (CSA).
The Care Manager Lead works on behalf of AmeriHealth Caritas DC, a Medicaid Managed
Care Organization. AmeriHealth provides telephonic and in-person care management services for its members. As a delegated entity, McClendon Center performs this function through its Care Managers. Most services, including assessment, treatment planning, and service delivery, are provided over the phone; about one-fourth of services are face-to-face. Members are referred by AmeriHealth. Each is assessed by a Care Manager, and then a plan of care created. The Care Manager maintains contact with the member throughout their engagement to ensure that they are following the plan of care, or amending it as needed to meet the member’s needs.
Supervises up to six members of the Care Management Team.
Ensures that all of the following accountabilities are met for herself/himself, as well as for the entire Care Management Team.
Assess members who are referred within 48 hours of referral.
Develop a plan of care by the end of the next business day following the assessment.
Maintain a list of agencies and providers to whom the member can be referred.
Contact the member as often as needed to ensure that he/she is following their plan of care.
Revise the plan of care when indicated.
Document all activities in AmeriHealth’s electronic health record, JIVA.
Document all activities within four hours of the service being delivered.
Carry a caseload of 130 members, and have contact with at least 112 of them each month.
Ensure that a maximum of 75% of services are delivered telephonically, and a minimum of 25% are delivered face-to-face and in the community.
Will work 9am to 5pm when working weekdays, except that one weekday (Monday, Tuesday, Wednesday, or Thursday) each week will work 12pm to 8pm.
Will work one Saturday every four weeks (9am to 5pm).
Will work in conjunction with a bachelor’s level Care Coordinator.
Meet all McClendon Center and AmeriHealth training requirements, both for orientation and annually.
MINIMUM EDUCATION AND EXPERIENCE REQUIREMENTS:
Requires that candidate must be licensed as a Registered Nurse in the District of Columbia.
Demonstrated experience in assessment and service delivery. Must have clinical management knowledge, data analysis, conflict resolution, and excellent writing skills.
Minimum of two years direct management experience in an inpatient or outpatient care facility or community setting.
SPECIALIZED KNOWLEDGE AND SKILLS REQUIREMENTS:
Ability to coordinate with a multi-disciplinary team within an outpatient mental health agency.
Knowledge of sound ethical clinical practice and principles.
A superior communicator, who shares information readily and concisely, listens as well as gives advice, and respects the abilities of others.
Excellent written and verbal communication skills.
Excellent computer skills, to include operating Microsoft Office Suite programs.
Knowledge and ability to navigate an Electronic Medical Record (EMR), including data entry.
Ability to perform amicably in an environment serving the seriously and persistently mentally ill adult population.
Ability to respect and uphold client confidentiality.
Ability to exhibit a high level of organizational skills and able to prioritize and multi-task without direct supervision.
At the McClendon Center you will find powerful resources for career long success, including:
• A competitive starting base salary of up to $86,500 annually (based on experience).
• Training and constant professional support and career development.
• A package of comprehensive benefits including health and wellness, four weeks of combined sick and vacation leave, 403(b) retirement contributions, and life insurance.
• The latest technology and work tools including a laptop and iPhone.
If you are ready for a new challenge in your professional career, submit your cover letter and resume online. Failure to attach a cover and/or a resume may disqualify you from further consideration.
Physical Demands: The position requires moderate physical effort on a daily basis such as walking, bending, stooping and standing for periods of time.
McClendon Center is an equal opportunity employer and does not discriminate on the basis of race, color, national and ethnic origin, sex, marital status, religion, or disability.
This job description is intended to convey information essential to understanding the scope of the job and the general nature and level of work performed by job holders within this job. This job description is not intended to be an exhaustive list of qualifications, skills, efforts, duties, responsibilities or working conditions associated with the position.