044441-Clinical Care Lead/ Manager

About Capgemini A global leader in consulting, technology services and digital transformation, Capgemini is at the forefront of innovation to address the entire breadth of clients� opportunities in the evolving world of cloud, digital and platforms. Building on its strong 50 year heritage and deep industry-specific expertise, Capgemini enables organizations to realize their business ambitions through an array of services from strategy to operations. Capgemini is driven by the conviction that the business value of technology comes from and through people. It is a multicultural company of 200,000 team members in more than 40 countries. The Group reported 2018 global revenues of EUR 13.2 billion.  Visit us at www.capgemini.com. People matter, results count.

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

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 experienceThe 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. COMPETENCIES1. 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.
Candidates should be flexible / willing to work across this delivery landscape which includes and not limited to Agile Applications Development, Support and Deployment.

Interested Candidates send their resumes to harish.gotur@capgemini.com 



Posted on:

June 17, 2019

Experience level:

Experienced (Non Manager)

Education level:

Bachelor's Degree (�16 years)

Contract type:







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