Lead Care Manager, Enhanced Care Management

Oversee development and implementation of Individual Care Plans while coordinating health benefits and facilitating timely client access to care. Provide direct services via office, telehealth, or field visits, connecting clients to social supports and advocating with healthcare professionals using evidence-based practices like motivational interviewing. Conduct outreach through phone calls, mailings, and field visits to link individuals to the Enhanced Care Management Program, accompanying clients to office visits as needed. Collaborate with hospital staff on Transitional Care Planning and serve as a liaison with external providers to promote client wellness and independence.