Assistant Manager - Care Manger

About
Capgemini

With
more than 180,000 people in over 40 countries, Capgemini is a global leader in
consulting, technology and outsourcing services. The Group reported 2015 global
revenues of EUR 11.9 billion. Together with its clients, Capgemini creates and
delivers business, technology and digital solutions that fit their needs,
enabling them to achieve innovation and competitiveness. A deeply multicultural
organization, Capgemini has developed its own way of working, the Collaborative
Business Experience™, and draws on Rightshore®, its worldwide delivery model.

Learn
more about us at www.capgemini.com.

Rightshore®
is a trademark belonging to Capgemini.

Capgemini
is an Equal Opportunity Employer encouraging diversity in the workplace. All
qualified applicants will receive consideration for employment without regard
to race, national origin, gender identity/expression, age, religion,
disability, sexual orientation, genetics, veteran status, marital status or any
other characteristic protected by law.

This
is a general description of the Duties, Responsibilities and Qualifications
required for this position. Physical, mental, sensory or environmental demands
may be referenced in an attempt to communicate the manner in which this
position traditionally is performed. Whenever necessary to provide individuals
with disabilities an equal employment opportunity, Capgemini will consider
reasonable accommodations that might involve varying job requirements and/or
changing the way this job is performed, provided that such accommodations do
not pose an undue hardship.

Click
the following link for more information on your rights as an
Applicant:http://www.capgemini.com/resources/equal-employment-opportunity-is-the-law

Location: Horsham Township, PA

Role:

Care Manger

Grade:

Role
Description

Role
Overview:
The
Care Manager is responsible for implementing, evaluation, coordinating,
monitoring, and facilitation of quality based, cost integrated home care and
facility delivery plans and systems. Responsibilities occur in multiple
environments across a continuum of care. The Care Manager performs the
essential functions of care management which includes the assessment,
planning, implementation, coordination, monitoring, and evaluation of client
needs while addressing the service delivery process with physical,
psycho-social, and financial requirements.
General
Responsibilities / Accountabilities:

Includes the following. Other duties may be assigned.
1.Establishes
and maintains empathetic working relationship with clients.
2.Establishes
working relationship with referral sources.
3.Assesses
patient specific information related to level of function and individual
needs.
4.Demonstrates
the use of interviewing skills that include the professional judgment to
probe as necessary to uncover underlying concerns of the client.
5.Plans
and establishes treatment goals that meet client health care needs as
identified through the assessment process.
6.Identifies
and implements available, appropriate and cost effective treatment modalities
based on the plan. The plan is action oriented and time specific.
7.Knows
average benchmarks for duration of services for disease treatment.
8.Considers
and applies principles of human behavior, family/care giver dynamics, human
development and disability into the care management process.
9.Communicates
case objectives and sets goals for services providers.
10.Plans
and participates in data gathering procedures.
11.Assesses
clinical evaluations and co-ordinates all aspects of treatment options to
meet goals.
12.Identifies
high-risk cases and possibility of complication. Considers and applies
principles of human behavior, family/care giver dynamics, human development
and disability into the care management process.
13.Shares and
reports legal and professional issues pertaining to confidentiality.
14.Acts as an
advocate for the individual’s health care needs.
15.Assesses and
addresses specific disease process issues.
16.Applies
regulatory scope of practice to home care providers.
17.Continuously
monitors status and impact of care management and adjusts plan
accordingly.
18.Evaluates the
client need for medically necessary services at intervals, determines the
effectiveness in reaching desired outcome and goals.
19.Modifies the
plan of care as indicated.
20.Evaluates the
quality of services performed by providers.
21.Works closely
with all identified members of the team including physician, nurse,
provider, insurer, and client throughout the
process.
22.Evaluates and
maintains a satisfactory level of perceived client satisfaction.
23.Interpret
insurance coverage, exclusions and reimbursement conditions.
24.Utilizes cost
containment strategies that maximize access to funding.
25.Evaluates,
negotiates and plans for the cost of care options.
26.Documents all
care management services rendered.
27.Utilizes
planning and goals development techniques.
28.Maintains
awareness of federal legislation effecting care management services.
29.Establishes
client support systems while utilizing available resources and services.
30.Utilizes
appropriate community resources and services to achieve optimal outcomes while
reducing financial exposure.
31.Provide
exceptional customer service to all internal and external contacts.
Qualifications
(Education/Experience/Certification)
CERTIFICATES,
LICENSES, REGISTRATIONS

RN or CSW license required.

BSN degree and/or CCM certification a plus.

EDUCATION
and/or EXPERIENCE
Licensed to practice as a Register Nurse or a
Clinical Social Worker in the state of residency with three or more years
clinical experience.
Preferred-BSN with five years clinical experience
The care manager who conducts the assessments,
develops care plans, and provides ongoing monitoring shall be either a
registered nurse licensed in the State where care management services are
provided or a social services worker who is a graduate of an accredited
four-year college or university. The nurse or social services worker
shall have a minimum of two years of experience in health care or human
services. A bachelor’s degree in nursing, health, social work,
gerontology or a related field may be substituted for one year of experience.

COMPETENCIES
1.Demonstrated
interviewing skills which include the professional judgment to probe as
necessary to uncover underlying concerns of the applicant.
2.Demonstrated
ability to establish and maintain empathic relationships.
3.Experience
in conducting social and health assessments.
4.Knowledge
of human behavior, family/caregiver dynamics, human development and
disability.
5.Awareness
of community resources and services.
6.The
ability to understand and apply complex service reimbursement issues.
7.The
ability to evaluate, negotiate and plan for the costs of care options.

Competencies

Proficiency
Level

Core
Behaviors

Living
Capgemini Values, Diversity, Life Balancing, Professional Integrity, Client
Value & Service Excellence, Collaboration, Flexibility, Initiative,
Resilience, Continuous Learning & Self Development

Meets Expectations

Professional
Competencies

Foundation
Skills:Time/Task
Management, Attention to detail, Conflict Management, Decision Making &
Judgment, Communicating, Presentation, Influencing

3- Proficient

Service
& Delivery:Planning
& Organizing, Managing & Controlling, Requirements Assessment,
Analytical Problem Solving, Solution Design, Project Closure, Documentation

3- Proficient

People
Leadership:Staff
Acquisition, Leadership Conduct, Managing Others, Developing Others

4- Progressing

Client
Acquisition & Development:Managing Relationships, Executive
Interaction, Client Organizational Awareness, Generating & Transforming
Opportunities

N/A

Innovation
& Capability Growth:Awareness of External Environment, Innovation, Capgemini
Business Acumen, Knowledge Sharing / Leveraging Knowledge, Reuse,
Facilitation

4- Progressing

Business
Leadership:Business
Planning & Execution, Global Perspective,Visionary leadership

N/A

Technology
Awareness and Leveraging:Technology Awareness, Technology Leverage

4- Progressing

Role Specific Competencies

BPO
Technology

3- Proficient

Commercial
Control

N/A

BPO
Process

3- Proficient

Analytics

3 - Proficient

Proficiency levels

1 -
Master (role model)
·Demonstrated
consistent excellence in applying
this competency
·Recognized
thought leader on this competency
2 -
Experienced (extensive practical application
and experience)
·Demonstrated
consistent achievement in applying
this competency
·Is
routinely sought out to coach others in the application of this competency
3 -
Proficient (practical application and experience)
·Have
applied this competency independently in
many situations
·Capable
of coaching others in the application of
this competency

4 -
Progressing (limited practical application
and experience)
·Applied
this competency but still require guidance to perform successfully
5 -
Baseline (theoretical knowledge)
·Newly
developing this competency and have completed formal training or on-the-job
training
·Have
limited or no applied experience in this competency and require a high level
of guidance to perform successfully
N/A -
Not Applicable
·The
competency is not applicable to the grade/role