We are aggressively seeking a RN Case Manager/ RN Care Manager to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help.
Take advantage of flexible hours, a competitive salary, and be a RN Case Manager/ RN Care Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!
This exciting opportunity will require a RN Case Manager/ RN Care Manager who can provide a high level of detail. If you are a seasoned RN Case Manager/ RN Care Manager and you meet the qualifications listed below, please click apply below for consideration!
Daily
Responsibilities:
- True case management, interacting with patients and managing their clinical care
- Will be focused on patients in acute and post acute stages of care
- Will be involved with discharge planning, so that will be important experience to have
Essential Function:
Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
- Develop, assess and adjust, as necessary, the care plan and promote desired outcome
- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
- Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
- Provide patient and provider education
- Facilitate member access to community based services
- Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
- Actively participate in integrated team care management rounds
- Identify related risk management quality concerns and report these scenarios to the appropriate resources
- Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
Hours for this Position:
Monday - Friday Daytime Hours
Requirements:
- RN license & associate’s degree in Nursing
- Must have discharge planning experience – not flexible on this
- Must have inpatient hospital experience (MED-SURG is ideal) – at least about 2 years
- Computer skills! Must be comfortable & able to learn computer systems.
Preferred but not Required:
- Interqual or Milliman experience
- Utilization review experience
- Case management experience highly preferred!
Advantages of this Opportunity:
- Competitive salary, negotiable based on relevant experience
- Health insurance
- Dental insurance
- Vision insurance
- Flexible spending accounts (includes health care, dependent care mass transit reimbursement)
- Short- and long-term disability insurance
- Basic Life insurance
- Supplemental AD&D
- Supplemental life insurance
- Wellness Program
- 401(k) retirement with company match
- Employee stock purchase plan
- Vacation, Personal and Sick time
- Paid Company Holidays
- Employee Assistance Program (EAP)
- Training and Learning Opportunities
- Tuition Reimbursement/Educational Assistance
- Service Awards
- On-site fitness center or discount at local fitness centers (most locations)
- Discounts for select local and national products and services, including cell phones, computers and more
- Other amenities may be available, but vary by location
- Fun and positive work environment
Interested in being considered?
If you are interested in being considered for the position, please contact Courtney Phelps at 407-478-0332 ext 232.