Healthcare Case Manager
2 weeks ago
The Judge Group is actively seeking experienced RN Case Managers.
Work Schedule: Monday to Friday, 40 hours per week.
Position Summary:
The Medical Case Manager plays a vital role in delivering comprehensive case management services. This includes thorough assessment, strategic planning, effective implementation, coordination, monitoring, and evaluation of the needs of our members. This position is essential in ensuring quality care and cost-efficient outcomes for all individuals served.
Key Responsibilities:
- Conducting assessments of member needs utilizing standardized health evaluations or risk assessments.
- Performing detailed, disease-specific clinical evaluations.
- Creating and executing care plans with specific, measurable, achievable, relevant, and time-bound (SMART) objectives.
- Coordinating care and services in collaboration with members, their families, and other healthcare providers.
- Facilitating referrals to behavioral health and substance use disorder services, as well as community resources.
- Engaging in Interdisciplinary Team meetings and collaborating with staff across departments.
- Advocating for the best interests of members concerning funding, treatment options, and care coordination.
Qualifications:
Essential Qualifications:
An Associate degree in nursing (ADN) or a related field is required, along with a minimum of three years of clinical experience or managed care experience. An equivalent combination of education and experience that successfully meets the essential duties of the role may also be considered.
Desirable Qualifications (Not Mandatory):
A Bachelor of Science in Nursing (BSN) degree or a related field.
Certification in Case Management (CCM).
Bilingual proficiency in English and one of the defined threshold languages (Arabic, Chinese, Farsi, Korean, Spanish, Vietnamese).
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