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Case Manager

3 months ago

Durham NC, United States Experis Full time

Job Title: Case Manager
Pay Rate: $41.75/hr  
Duration: 6 months on W2 with potential to conversion
Location: 4613 University Drive, Durham, North Carolina, United States of America, 27707

Requirements:

  • Must have compact license
  • RN with 3-5 years of nursing experience in clinical setting
  • Variety of clinical experience
  • Case management experience – telephonic
  • Must have good time management skills


Responsibility

  • Serve as a team member on a multidisciplinary team, coordinating care, resources and/or services for members to achieve optimal clinical and resource outcomes.
  • Utilize applicable clinical skillset and perform comprehensive assessments to determine how to best collaborate with members, family, internal partners and external services/providers on plans for treatment, appropriate intervention and/or discharge planning.
  • Develop a member-centric plan tailored to member’s needs, health status, educational status and level of support needs; identify barriers to meeting goals or plan of care
  • Utilize community resources and funding sources as needed in the development of the plan of care.
  • Perform ongoing monitoring and management of member which may include scheduled follow-up with member, discussion of plan with member, appropriate services/education to address needs, appropriate referrals with supporting documentation, assessment of progress towards goals, modification of plan/goals as needed, with contact frequency appropriate to member acuity.
  • Evaluate and facilitate care provided to members through the continuum of care (physician office, hospital, rehabilitation unit, skilled nursing facility, home care, etc).
  • Educate members and encourage pro-active intervention to limit expense and encourage positive outcomes
  • Effectively document all aspects of the plan from the initial assessment, development of the plan, implementation, monitoring, and evaluating outcome.
  • May outreach directly to members identified as high risk, high cost, or high utilization cases.
  • May review alternative treatment plans for case management candidates and assess available benefits and the need for benefits exception or flex benefit options, where eligible.
  • May evaluate medical necessity and appropriateness of services as defined by department.
  • As needed, develop relevant policies/procedures, education or training for use both internally and externally.

 

If this is a role that interests you and you’d like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you

About ManpowerGroup, Parent Company of:  Manpower, Experis, Talent Solutions, and Jefferson Wells

ManpowerGroup® (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands – Manpower, Experis, Talent Solutions, and Jefferson Wells – creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2022 ManpowerGroup was named one of the World's Most Ethical Companies for the 13th year - all confirming our position as the brand of choice for in-demand talent.