Off-site visits (such as but not limited to home, hospital or community health centers or other community agencies) as necessary or required
Completes comprehensive documentation of all activities and contacts in Care Management software system
Facilitates referrals and coordinates needed services
Collaborates with team as necessary in identifying needed services and supports
Communicates with ancillary departments, such as Provider Relations and Member Services, as necessary to meet individual needs of members and providers
Meets department and regulatory standards for accuracy, proficiency, and documentation in order to communicate decisions and plan of care in an appropriate and timely manner
Provides clinical oversight to community outreach and other team members, providing direct supervision of community outreach staff as appropriate regarding individual care status
Serves as a clinical resource to respond to questions from various departments
Provides cross-coverage as assigned
Participates in outreach/marketing activities as needed and as appropriate
Other duties as assigned
Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood’s Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies, and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agents
