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.
more about us at www.capgemini.com.
is a trademark belonging to 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.
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.
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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.
Responsibilities / Accountabilities:
Includes the following. Other duties may be assigned.
and maintains empathetic working relationship with clients.
working relationship with referral sources.
patient specific information related to level of function and individual
the use of interviewing skills that include the professional judgment to
probe as necessary to uncover underlying concerns of the client.
and establishes treatment goals that meet client health care needs as
identified through the assessment process.
and implements available, appropriate and cost effective treatment modalities
based on the plan. The plan is action oriented and time specific.
average benchmarks for duration of services for disease treatment.
and applies principles of human behavior, family/care giver dynamics, human
development and disability into the care management process.
case objectives and sets goals for services providers.
and participates in data gathering procedures.
clinical evaluations and co-ordinates all aspects of treatment options to
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.
reports legal and professional issues pertaining to confidentiality.
14.Acts as an
advocate for the individual’s health care needs.
addresses specific disease process issues.
regulatory scope of practice to home care providers.
monitors status and impact of care management and adjusts plan
client need for medically necessary services at intervals, determines the
effectiveness in reaching desired outcome and goals.
plan of care as indicated.
quality of services performed by providers.
with all identified members of the team including physician, nurse,
provider, insurer, and client throughout the
maintains a satisfactory level of perceived client satisfaction.
insurance coverage, exclusions and reimbursement conditions.
containment strategies that maximize access to funding.
negotiates and plans for the cost of care options.
care management services rendered.
planning and goals development techniques.
awareness of federal legislation effecting care management services.
client support systems while utilizing available resources and services.
appropriate community resources and services to achieve optimal outcomes
while reducing financial exposure.
exceptional customer service to all internal and external contacts.
RN or CSW license required.
BSN degree and/or CCM certification a plus.
Licensed to practice as a Register Nurse or a
Clinical Social Worker in the state of residency with three or more years
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.
interviewing skills which include the professional judgment to probe as
necessary to uncover underlying concerns of the applicant.
ability to establish and maintain empathic relationships.
in conducting social and health assessments.
of human behavior, family/caregiver dynamics, human development and
of community resources and services.
ability to understand and apply complex service reimbursement issues.
ability to evaluate, negotiate and plan for the costs of care options.
Capgemini Values, Diversity, Life Balancing, Professional Integrity, Client
Value & Service Excellence, Collaboration, Flexibility, Initiative,
Resilience, Continuous Learning & Self Development
Management, Attention to detail, Conflict Management, Decision Making &
Judgment, Communicating, Presentation, Influencing
& Organizing, Managing & Controlling, Requirements Assessment,
Analytical Problem Solving, Solution Design, Project Closure, Documentation
Acquisition, Leadership Conduct, Managing Others, Developing Others
Acquisition & Development:Managing Relationships, Executive
Interaction, Client Organizational Awareness, Generating & Transforming
& Capability Growth:Awareness of External Environment, Innovation, Capgemini
Business Acumen, Knowledge Sharing / Leveraging Knowledge, Reuse,
Planning & Execution, Global Perspective,Visionary leadership
Awareness and Leveraging:Technology Awareness, Technology Leverage
Role Specific Competencies
3 - Proficient
Master (role model)
consistent excellence in applying
thought leader on this competency
Experienced (extensive practical application
consistent achievement in applying
routinely sought out to coach others in the application of this competency
Proficient (practical application and experience)
applied this competency independently in
of coaching others in the application of
Progressing (limited practical application
this competency but still require guidance to perform successfully
Baseline (theoretical knowledge)
developing this competency and have completed formal training or on-the-job
limited or no applied experience in this competency and require a high level
of guidance to perform successfully
competency is not applicable to the grade/role