ABOUT ACW

Adobe Care & Wellness (ACW) is an organization whose culture is based on inclusivity and guided by a driving mission to positively impact the lives we touch. Founded in 2018, ACW is a woman-owned business, recognized as one of the fastest-growing companies in Arizona as well as a Phoenix Business Journal’s “Best Places to Work.”

Based out of Tempe, AZ with satellite locations in multiple states, ACW is an integrated health solutions company that specializes in customizing programs for insurance groups, providers, hospitals, and families offering case management, in-home/in-clinic wellness assessments, preventative care, transitional care, and social work services. ACW is the only fully integrated healthcare provider in the nation offering top-tier, meaningful medical services with a variety of service lines. As we continue to expand and serve those in need, we are looking for people who want to make a difference.

POSITION SUMMARY

The RN Case Manager is responsible for assessing patient/family psychosocial needs, planning, implementing, procuring services for, and evaluating care needs. Goal focus on improving quality of life and health literacy. Coordinates, monitors and ensures that appropriate and timely primary, acute and long-term care services are provided to members across the continuum of care. Promotes effective healthcare utilization, and monitors healthcare resources within the Interdisciplinary Care Team (ICT) to achieve optimal clinical and resource outcomes for members. Coordinates the care and services of selected member populations across the continuum of illness. Promotes effective utilization and monitors health care resources. Assumes a leadership role within the interdisciplinary team to achieve optimal clinical and resource outcomes. Works directly with the member while collaborating with the treatment team to assess, plan, implement, coordinate, monitor, and evaluate services and outcomes to maximize the health of the member.

DUTIES & RESPONSIBILITIES

• Evaluates members for case management services and determine the appropriate level of care coordination and management services for member
• Completes a comprehensive assessment and develops a care plan utilizing clinical expertise to evaluate members' need for alternative services
• Acts as a primary case manager for all assigned SNP members
• Develops and monitors members' plans including progress toward meeting established goals and self-management activities
• Interacts with members, family, physician(s), and other providers utilizing clinical knowledge and expertise to determine medical history and status
• Assess the options for care including the use of benefits and community resources to update the care plan
• Ensures facilitation, collaboration, and coordination with the care team
• Acts as a resource for staff (i.e., Care navigators and LPN case managers)
• Act as liaison and member advocate between the member/family, physician, and facilities/agencies
• Maintains accurate records of case management activities in the EMR using clinical guidelines
• Coordinates community resources, with emphasis on medical, behavioral, and social services
• Applies case management standards, maintains HIPAA standards and confidentiality of protected health information, and reports critical incidents and information regarding the quality-of-care issues
• Ensures compliance with all state and federal regulations as well as corporate guidelines in day-to-day activities
• Adapts to changes in policies, procedures, new techniques, and additional responsibilities
• Participates with other Case Managers and Medical Directors in regular or special meetings such as Clinical rounds
• Performs other related duties as assigned by management

SKILLS & QUALIFICATIONS

• One (1) year of experience in case management is preferred
• Experience in the care of the elderly in some geographic regions is preferred
• Experience in home health, physician’s office, or public health is preferred
• Bilingual (English/Spanish) is preferred
• Knowledge of HIPPA regulations

LICENSES & CERTIFICATIONS

• Licensed Registered Nurse (RN) is REQUIRED for the state of Arizona
• Certified Case Manager (CCM) is preferred
• Current TB Test
• Must maintain current CPR certification throughout employment