RN Case Manager Team Lead

4 days ago


Cedar Rapids, Iowa, United States TruHealth LLC Full time
Job Title: RN Case Manager Team Lead

The RN Case Manager Team Lead is a critical role within our organization, responsible for the daily management and support of Case Management strategies for care coordination. This position plays a key part in ensuring the delivery of high-quality patient care and services to our members.

Key Responsibilities:
  • Monitor Health Risk Assessments for members and complete as needed for compliance with our model of care.
  • Ensure timely completion of care plans and provide education to members and healthcare staff as needed.
  • Coordinate outpatient discharge planning based on patient needs, clinical circumstances, and benefit coverage.
  • Participate in managed care-related audits and generate reports as required.
  • Manage patient transfers within the market and monitor ICP/ICT coding.
  • Perform quality audits for compliance and participate in improvement projects.
  • Apply medical management criteria accurately and respond to day-to-day problems presented in care coordination.
Requirements:
  • Graduate from an accredited Registered Nursing Program.
  • Bachelor's degree preferred.
  • Two years' experience in clinical nursing or rehabilitation for the geriatric population.
  • Two years' experience in managed care required.
  • Current state Registered Nursing License.
What We Offer:
  • A dynamic and supportive work environment.
  • Opportunities for professional growth and development.
  • A competitive salary and benefits package.

We are an equal opportunity employer and welcome applications from diverse candidates. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the role.



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