Care Manager. An appropriately qualified professional who is the ICDS Plan’s designated accountable point of contact for each Beneficiary receiving care management services. The Care Manager is responsible for directing and delegating care management duties, as needed, and may include the following: facilitating assessment of needs; developing, implementing and monitoring the care plan; and serving as the lead of the trans-Disciplinary care management team.
Care Manager. An appropriately qualified professional who is the FIDA Plan’s designated accountable point of contact for each Participant’s care coordination and Care Management services. The Care Manager is the primary individual responsible for conducting, directing, or delegating Care Management duties, as needed. Responsibilities include: facilitating Interdisciplinary Team (IDT) activities and communication; facilitating assessment of needs; ensuring and assisting in developing, implementing and monitoring the Person-Centered Service Plan; and serving as the lead of the IDT.
Care Manager. An entity designated by Us to manage, assess, coordinate, direct and authorize the appropriate level of health care treatment.] [CASH DEDUCTIBLE. A fixed dollar amount that a Member must pay before [Carrier] provides the [Member] with coverage for Covered Services or Supplies.] CHURCH PLAN. Has the same meaning given that term under Title I, section 3 of Pub.L.93-406, the “Employee Retirement Income Security Act of 1974” [COINSURANCE. The percentage of Covered Services or Supplies that must be paid by a [Member]. Coinsurance does not include Copayments [or Cash Deductible].]
Care Manager. The Council’s Care Manager in respect of this Agreement is: Care Manager Name Address Telephone number Email address
Care Manager. A care manager based at a PHP or a Designated Care Management Entity or care management agency under contract with a PHP, who provides a team-based person- centered approach under the North Carolina PHP Care Management model to effectively manage a Member’s medical, social and behavioral conditions, including comprehensive assessment, transitional care management, coordination of services, and identification and management of unmet resource needs and high-risk social environments.
Care Manager. An appropriately qualified professional who is the FIDA- IDD Plan’s designated accountable point of contact for each Participant’s care coordination and Care Management services. This three-way contract outlines detailed education, training, and occupational responsibilities for Care Managers.
Care Manager at a minimum of 1.0 FTE. Responsible for providing basic medical care within the scope of an RN in the context of a variety of clinical scenarios, including medical assessments, wound care and skin assessments, vaccinations (e.g.., flu, Hepatitis A), assessment of respiratory illnesses, and caring for clients with active substance use disorders. Contractors may refer to the LA Dept. of
Care Manager. Children placed into TFC shall be assigned a Care Manager (CM). This person will be an employee, or sub- contractor, of the Contractor who serves as the coordinator, broker, and manager of TFC children‟s care and services. The CM will convene and facilitate team meetings for the purpose of developing, monitoring and updating children‟s comprehensive care plans. CMs must possess a least a bachelors' degree in a human services field (e.g., social work, psychology, counseling, child welfare, etc.). They are to have knowledge of or experience providing services to children and/or families who present with serious mental health issues, substance use problems, cognitive limitation, and/or child welfare involvement. These positions will maintain caseloads, including non-clinical siblings, which do not exceed 14 children. If the Care Manager‟s caseload is comprised wholly of children identified as requiring TFC, that caseload should not exceed nine (9) children. The CM must be cognizant that their principle client is the xxxxxx child and must engage in activities that support their dedicated focus on the safety, well-being and permanency of such child(ren). While legal, placement, and final decision making responsibility remains with DCF, day-to-day activities of children served through this contract will be managed by the Contractor. The CM is to fulfill duties including, but not necessarily limited to:
Care Manager. An appropriately qualified professional who is the ICDS Plan’s designated accountable point of contact for each Enrollee receiving care management services. The Care Manager is responsible for directing and delegating care management duties, as needed, and may include the following: facilitating assessment of needs; developing, implementing and monitoring the care plan; and serving as the lead of the trans-disciplinary care management team. Care Management – A collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services (both Medicare and Medicaid) required to meet an Enrollee’s needs across the continuum of care. It is characterized by advocacy, communication, and resource management to promote quality, cost effective, positive outcomes. Center for Medicare and Medicaid Innovation (CMMI) - Established by Section 3021 of the Affordable Care Act, CMMI was established to test innovative payment and service delivery models to reduce program expenditures under Medicare and Medicaid while preserving or enhancing the quality of care furnished to individuals under such titles. CMS – The Centers for Medicare & Medicaid Services. Consumer Assessment of Healthcare Providers and Systems (CAHPS) - Beneficiary survey tool developed and maintained by the Agency for Healthcare Research and Quality to support and promote the assessment of consumers’ experiences with health care. Three-way Contract - The three-way agreement that CMS and Ohio Medicaid enters into with an ICDS Plan specifying the terms and conditions pursuant to which a participating ICDS Plan may participate in this Demonstration. Contract Management Team - A group of CMS and Ohio Medicaid representatives responsible for overseeing the contract. Covered Individuals - Individuals enrolled in the Demonstration, including the duration of any month in which their eligibility for the Demonstration ends. Covered Services - The set of required services offered by the ICDS Plans. Cultural Competence - Understanding those values, beliefs, and needs that are associated with an individuals’ age, gender identity, sexual orientation, and/or racial, ethnic, or religious backgrounds. Cultural Competence also includes a set of competencies which are required to ensure appropriate, culturally sensitive health care to persons with congenital or acquired disabilities. Enrollee - See Covered Individuals. Enrollment - The processes by which an individual who is eligible f...
Care Manager
