Community Healthcare Network is seeking for a Full-Time Care Manager who will be responsible for guiding chronically ill patients through the health care system by assisting with access issues, developing relationships with service providers, and tracking interventions and outcomes.

JOB FUNCTION:

Responsibilities include, but are not limited to:

Provides direct service to a caseload of 50-55 patients with the assistance of a patient navigator.

Screens for functional scale eligibility, conducts initial assessments, and periodic reassessments of patients’ needs including medical, mental heath, substance use, financial, housing and support needs.

Provides crisis intervention and health education services as needed.

Develops patient focused care plans with documented input and approval from other providers and the patient in compliance with Health Home standards. .

Work with the medical staff to develop, implement, and co...