Integrated Health Consultant II OT
The Judge Group Inc.

Location: Morrisville, NC
Description: Hey there! My name is Dave Manderewicz and my client is currently seeking an Integrated Health Consultant II - Occupational Therapist for a Hybrid role to serve Health Plan members in Mecklenburg, Wake, Durham, Cumberland, Johnston and Orange counties.

Job Summary:

• This position will allow the successful candidate to work a schedule which will include both onsite as well as remote work certain days of the week as approved by their supervisor.
• The Integrated Health Consultant II (IHCII) provides an episodic and/or consultative role as part of the member's multidisciplinary care team (MCT) when member physical and/or behavioral health needs are identified and warrant subject matter expertise or the member is transitioning from facility-based care.
• These consultants offer on-demand recommendations, complete assessments, provide education within their scope of licensure, and escalate review of complex cases to the Chief Medical Officer, Deputy Chief Medical Officer, Associate Medical Directors, and/or Pharmacists as necessary, in order to optimize health outcomes for the member. For those IHC II's which are assigned to Acute Care Facilities, Emergency Departments and State Psychiatric Hospitals there will be active participation in discharge planning beginning with admission.

This job will have the following responsibilities:

• Support members transitioning from institutional care settings to community-based care.
• Provide subject matter expertise, within scope, regarding member's physical and/or behavioral health to support the development and delivery of a whole person approach to Care Management Complete Assessments and Planning.
• Utilize person-centered planning, motivational interviewing and assessments to gather information
• Provide education and supports to members and/or legal guardians regarding their rights and responsibilities, available treatment options, provider network availability and payor requirements that may impact service access or maintenance
• Educate team members about impact of member's health conditions on service engagement, clinical outcomes, and prognosis for change
• Actively collaborate with member and care team members to ensure care plan accurately reflects the individual's clinical needs and desired life goals
• Update Assessments and plans of care as needed Provide education about advanced directives, preferred natural support and physical health contacts whom the member identifies, preferred crisis facilities, and medication allergies and preferences
• Develop and update plans of care based off the needs identified in the assessments and complete the interventions identified as needed Monitoring/Coordination Escalate high risk/high visibility and/or complex barriers/needs members who may have difficulty transitioning out of the facility in a timely manner to supervisors
• Review cases with clinical complexity with direct supervisor, peer clinical review cohort, and utilization management care managers and medical management leadership as needed.
• Obtain information releases that will improve care management activities on behalf of the member and reports care quality concerns to Quality Management as needed Documentation
• Ensure all clinical documentation (e.g. goals, plans, progress notes, etc.) meet state, agency, and Medicaid requirements
• Follow administrative procedures and effectively manages caseload Data Review, validate and interpret risk stratification data and population health groups and recommends changes or adjustments to care management approach as needed
• Utilize data to analyze needs of the members we serve, guide staff training development, identify resource needs and consistency of workflow implementation across disciplines
  

Qualifications & Requirements:

• Graduation from a school of nursing and two (2) years of full-time experience with the population served including experience with case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office or Managed Care.
• Active, valid Registered Nursing license in NC.
  
• Valid NC Driver's License
• LCSW, LCMHC, LPA, LMFT, RN, or OT/L

Please apply below or forward your most up-to-date resume to my email at dmanderewicz@judge.com for consideration for the role. Let's find your next career!

David Manderewicz

Healthcare Recruiter

The Judge Group

dmanderewicz@judge.com

215-309-7287

Contact: dmanderewicz@judge.com

This job and many more are available through The Judge Group. Find us on the web at www.judge.com

This job has expired.