RN Care Management Specialist

1 week ago


Orlando, Florida, United States Wellvana Full time
About the Role

We are seeking an experienced RN to join our team as a RN Care Manager. In this role, you will be responsible for managing rising risk and high-risk members to promote effective education, self-management support, and timely healthcare delivery to achieve optimal quality and financial outcomes.

Responsibilities
  • Perform whole-person assessments for identified individuals, including physical, social determinants of health, and psychological barriers and concerns.
  • Collaborate with providers and other healthcare team members to transition and facilitate care across the healthcare continuum.

You will also be responsible for identifying problems or gaps in care and offering opportunities for intervention, as well as collaborating with appropriate healthcare team members to perform root cause analysis on readmissions.

Qualifications

To be successful in this role, you must have a minimum two years of nursing-related care experience, preferably in a primary care office or call center setting. You should also possess knowledge of care management concepts along the continuum of care and advanced clinical knowledge of chronic disease states.

A valid compact RN license is required, and licensure in additional states such as IL, MI, NY, CA, NV, and PA is a plus. Experience with case management, care coordination, telephone nursing management, and/or disease management is highly desirable.

Our ideal candidate will have excellent written, verbal, and listening communication abilities and be able to manage conflict, stress, and multiple simultaneous work demands in an effective and professional manner.

The estimated salary for this position is $**75,000 - $90,000 per year**, depending on experience and qualifications.



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