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RN Case Manager

1 month ago

Wilmington, United States ChristianaCare Full time
RN Case Manager at ChristianaCare summary:

The RN Case Manager at ChristianaCare serves as a Care Coordinator, engaging with members through various communication methods to facilitate effective health management. This hybrid role involves coordinating healthcare resources, ensuring clinical and quality goals are met, and working closely with multidisciplinary care teams. Required qualifications include a DE RN License, a BSN degree, and experience in Utilization or Case Management.

RN Care Coordinator (Longitudinal)

Day Shift (Hours: 8:30a– 4:00p) /1-2 Evenings are required weekly until 8 pm.

Wilmington, DE

Hybrid position supporting office and remote work.

ChristianaCare, CareVio Services is looking to hire a Registered Nurse (RN) Care Coordinator - Longitudinal.   

CareVio Registered Nurse (RN) Care Coordinators connect with people by phone, video, in-person visits, secure texting, and e-mail to help them manage their health care. Our focus is on delivering healthcare through a combination of advanced technology and the human touch.

  • RN Care Coordinator Coordinates the utilization of healthcare resources, including transition planning, and facilitates the achievement of clinical, quality, financial, and member satisfaction goals.
  • RN Care Coordinator is responsible for ongoing contact with member and multidisciplinary care teams including CareVio case managers, Providers, Payers, Inpatient Case Managers, and alternate level of care settings staff.

Longitudinal – Practice/Provider Care Coordinator Role: 

  • Strong knowledge base of co-morbid conditions and symptom management, including Diabetes and CardioPulmonary conditions.
  • The position is hybrid supporting in office and remote work. 
  • Onsite within practices as required per assignment.  
  • Presentation and/or facilitation of Population Health Learning Collaborative meetings monthly at each assigned practice
  • Review and preparation of Provider Practice Weekly Huddles, if applicable 
  • 1-2 Evenings are required weekly until 8:00 pm 
  • On-Call requirements, including weekend and evening coverage

ChristianaCare Offers:

  • Medical, Dental, Vision, Life Insurance, etc.
  • Two retirement planning offerings, including 403(b) with company contributions.
  • Paid time off with annual rollover and opportunities to cash out.
  • 12-week paid parental leave.
  • Tuition assistance
  • Incredible Work/Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial mentor, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more.

Experience & Education Requirements:

  • DE RN License or RN Compact License required.
  • BSN required or commitment to obtaining BSN within three years of hire date.
  • 2-3 years’ experience in Utilization Management or Case Management required.
  • 1-2 years of acute care in a hospital setting is preferred. 
  • Basic Life Support (BLS) certification is required.
  • Case Management Certification is preferred through the Commission for Case Management (CCM) within 18 months of eligibility.
  • Advanced Certification is recommended.

Knowledge, Skill, and Ability Requirements:

  • Strong interpersonal skills relative to member, caregiver, professional, and team interactions and strong organization skills
  • Demonstrated ability to manage a large population of beneficiaries/members.
  • Demonstrated critical thinking skills and the ability to prioritize workload.
  • Knowledge of disease/treatments and appreciation of social determinants of health influence
  • Knowledge of insurance, state, and federal regulations
  • Knowledge of resources and Nursing Theory and understanding and acceptance of Nursing Code of Ethics.
  • Knowledge and demonstration of Christiana Care's core values; caring excellence, integrity, leadership, service, teamwork.
  • Knowledge of community resources, State and Federal programs
  • Ability to exercise clinical judgment.
  • Ability to apply knowledge of case management and utilization management principles and practice.


Keywords:

RN, Case Manager, Healthcare Coordination, Care Management, Patient Engagement, Utilization Management, Health Resources, Hybrid Role, Longitudinal Care, Healthcare Technology