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Case Manager
5 months ago
$70k to $110,000 annually.
Location
Hybrid- Atlanta, GA
Primary Responsibilities
- Assess current health status, socioeconomic status, resource utilization, gaps in care, past and present treatment plans and/or integrated care plans, strengths, and barriers for assigned members.
- Develop, assess, and adjust care plans for assigned members as necessary to promote quality, member centered, cost-effective care.
- Collaborate with and coordinate services and supports between the Primary Care Physician (PCP), specialists, medical, behavioral, and community/social service providers, as well as other key interdisciplinary team members to meet the complete medical and social needs of members.
- Provide member education.
- Monitor and document all member referrals to support the member's overall care plan and ensure the member receives needed/requested services or support.
- Actively participate in and present during Integrated Care Team meetings and member rounds
- Identify member risk and/or quality concerns and report these to the appropriate resources.
- Enter and maintain assessments, care plans, and other pertinent clinical documentation and information into various medical management systems.
- Other duties as assigned by Manager.
- Graduation from an accredited school of nursing.
- 2+ years of clinical nursing experience in a clinical or community setting.
- Must reside in Georgia.
- Must be licensed as a registered nurse in good standing in Georgia.
- Board Certification in Case Management
- Bachelor's or master's degree in nursing
