Care Managers Sample Clauses
The 'Care Managers' clause designates specific individuals or entities responsible for overseeing and coordinating the delivery of care services under the agreement. Typically, this clause outlines the roles, qualifications, and authority of care managers, such as monitoring patient progress, communicating with service providers, and ensuring that care plans are properly implemented. By clearly defining who manages care and their responsibilities, the clause helps ensure accountability, continuity, and quality in the provision of care services.
Care Managers. The contractor shall establish a distinct care management function within the contractor's plan. This function shall be overseen by a Care Management Supervisor, as described in Article
Care Managers. 1. The Contractor shall ensure that the clinician leading the care team has the minimum credentials of RN or LCSW.
2. Care managers must have competency in:
a. Comprehensive Needs Assessments and care planning;
b. Motivational interviewing;
c. Self-management;
d. Trauma informed care;
e. Cultural competency;
f. Understanding and addressing unmet health-related resource needs, including expertise in identifying and utilizing available social supports and resources at Members’ local level; and
g. Understanding and assessing for Adverse Childhood Experiences (ACEs) and trauma.
h. Best practices for integrated care for children and families, including supports from child welfare, juvenile justice, early child care and education, and schools.
3. The Contractor will train its care managers on:
a. Strategies to promote enrollee self-management;
b. Strategies to encourage medication adherence;
c. Motivational interviewing;
d. Completing CNAs and person-centered Care Plans;
e. Strategies for communicating across the care team;
f. Strategies for addressing current or potential LTSS needs;
g. Execution of Comprehensive Assessments of Members;
h. Waiver services available only through BH I/DD TPs, BH I/DD TP eligibility criteria, and the process for a Member who needs a waiver service that is available only through LME/MCOs to transfer to a LME/MCO Strategies for enrollees who have identified behavioral health issues;
i. Transitional care management;
j. Cultural competency and implicit bias;
k. Strategies specific to care managing dually-eligible enrollees;
l. Strategies for care managing children in ▇▇▇▇▇▇ care;
m. Strategies for Trauma-Informed Care and care managing enrollees with ACEs and Trauma; and
n. Strategies for understanding and addressing unmet health-related resource needs, including expertise in identifying and utilizing available social supports and resources at Members’ local level.
4. The Contractor shall ensure that care managers remain conflict-free, which shall be defined as not providing care management services or oversight for enrollees with whom they are related by blood or marriage, financially responsible, or legally allowed to make financial or health related decisions for.
Care Managers. Anniversary/Seniority Dates: ONA seniority and step increase anniversary dates are the date of ratification (1/6/23) except for those registered nurses who transferred into Care Management with existing seniority/anniversary date(s) and except for RN Care Managers hired after the date of ratification.
Care Managers. The TFC Supervisor(s) must have at least a master's degree in social work or a closely related field (i.e., marriage and family therapy, counseling or psychology). Persons in this position will have direct behavioral health/mental health experience, proven knowledge of case management, family systems, organizing and coordinating meetings, and exceptional clinical, organizational, communication, and problem solving skills. They must also possess at least two years experience in ▇▇▇▇▇▇ care. The TFC Supervisor(s) will provide support and consultation to the program CMs. Documentation regarding child and ▇▇▇▇▇▇ family specific related weekly supervision will be maintained in the child and/or family‟s file. These positions will:
Care Managers. 1. The Contractor shall ensure that the clinician leading the care team has the minimum credentials of RN or LCSW.
2. Care managers must have competency in:
a. Comprehensive Needs Assessments and care planning;
b. Motivational interviewing;
c. Self-management;
d. Trauma informed care;
Care Managers use this Eventbrite Link to register for the GLearn Curriculum Training and/or indicate your interest in the ECHO Pediatric Complex Management Program (see “Attachment C”) – in Eventbrite, you will answer questions about your contact information, License information, Job Function, Specialty, etc. kindly respond to all questions in Eventbrite.
Care Managers. Registered Nurse; Master’s degree in behavioral health sciences and one year of paid on-the-job social service experience; Bachelor’s degree in behavioral or health sciences and two years of paid on-the-job social service experience; or Bachelor’s degree and four years of paid on-the-job social service experience. Nothing in this definition precludes the MMIP, primary care provider, or Care Manager from using allied health care staff, such as community health workers, navigators, peer counselors and others to support and facilitate the work of the Care Manager.
Care Managers. Coordination of an Integrated Treatment Plan Use of Behavioral Health Skills
Care Managers. Certified Addiction Counselors; and