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Care Manager

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Tampa, United States Spectraforce Technologies Full time
Job Title: Care Manager (RN)
Job Location: Remote (Remote, FL Market?)
Job Duration: 02 Months (Possibility to extend)

Walk me through the day-to-day responsibilities of this the role and a description of the project (Outside of Workday JD):
  • Remote telephonic case management, Care manager (CM) follows model of care to assist member in managing health care needs.
  • Conducts initial assessments, medication review, develops care plan with member, identifies member needs and connects member with appropriate resources to meet health care needs.
  • Interacts with members care team, community services, vendors.
  • Follows up with member every 30 days at minimum to review conditions, progress toward goals, and ensure member is receiving requested information and/or services.
  • Provides education on member health plan and coverage and management of identified health conditions.
Describe the performance expectations/metrics for this individual and their team:
  • CM caseload expectation is 75 actively managed members, Audit score of 90%or greater, Case duration 90 days.
Required Skills/Experience: Preferred Skills/ Experience: 1. Registered Nurse, 5 plus years clinical RN experience 1. Medicare Case management experience 2. Compact License 2. CCM certification 3. 3. Education Requirement: Graduate of accredited RN program Education Preferred: RN, BSN Software Skills Required: Microsoft office products Required Certifications: CCM preferred Required Testing:

Position is offered by a no fee agency.