This job was posted by https://idahoworks.gov : For more information,please see: https://idahoworks.gov/jobs/2154048 Our HealthcareOperations team is seeking a Care Guide who can help members identifymedical and socio-economic issues that affect their overall health. Workwith members through the duration of their health journey. Develop andsupport a health/social care plan to include goals.
We are looking for a Care Guide with:
Experience: 2 years\' relevant
Education: Associate degree in Nursing or Bachelor\'s Degree in SocialWork; or equivalent work experience (Two years\' relevant workexperience is equivalent to one-year college)
Licenses/Certifications: Must hold one of the following:
Valid unrestricted Idaho Registered Nursing LicenseValid unrestricted Idaho Social Worker LicensePreferred qualification:
LMSW
What your day may look like:
Communicates to members the purpose of the program and the benefitsof engaging with the Care Guide.Conducts assessments of the members\' current status and develops acare plan with the members to address member\'s goals whileconsidering member\'s strengths and barriers.Performs comprehensive tracking of members compliance in relation tocare plan objectives as measured against short and long-term goals.Facilitates coordination of care with providers. Motivates membersto be active and engaged participants in their health and overallwell-being.Participates in case rounds with Medical Director and otherhealthcare operations staff in order to facilitate appropriatelevels of care and services.Collaborates with internal partners and providers in order toachieve the most appropriate outcome while promoting the mostcost-effective use of available resources.Tracks and reports cost savings throughout the duration of theindividual\'s membership.Helps members review benefit concerns and connect with appropriateinternal resources to expedite resolution of concerns and inquires.Provides support and advocacy during medical care of when necessary,to assure members medical needs and referrals required are beingconveyed. Identifies and assists with care coordination related togaps in care.Completes medical review of select requested services.Performs other duties and responsibilities as assigned.Reasonable accommodations
To perform this job successfully, an individual must be able to performeach essential duty satisfactorily. The requirements listed above arerepresentative of the knowledge, skill and/or ability required.Reasonable accommodations may be made to enable individuals withdisabilities to perform the essential functions.
We are an Equal Opportunity Employer and do not discriminate againstany employee or applicant for employment because of race, color, sex,age, national origin, religion, sexual orientation, gender identity,status as a veteran, and basis of disability or any other federal, stateor local protected class.