Healthcare Professional

3 weeks ago

Trenton, New Jersey, United States DirectEmployers Full time
Overview

At DirectEmployers, we're committed to providing enhanced human-centric healthcare solutions. Our purpose is to deliver quality care to our members, and we're seeking a skilled Clinical Care Coordination Specialist to join our team.

About the Role

This is a remote opportunity with 50 to 75% field travel in Union County and surrounding counties. The working schedule is Monday - Friday 8am-5pm EST.

Job Description

Develop, implement, support, and promote health service strategies, policies, and programs that drive the delivery of quality healthcare to our members. This includes utilization management, quality management, network management, clinical coverage, and policies. The position requires advanced clinical judgment and critical thinking skills to facilitate appropriate physical, behavioral health, psychosocial wrap-around services.

The care manager will be responsible for care planning, direct provider collaboration, and effective utilization of available resources in a cost-effective manner. Strong assessment, writing, and communication skills are required.

Key Responsibilities
  • Conduct face-to-face visits in members' homes using comprehensive assessment tools for members enrolled in Managed Long-Term Services and Supports program (MLTSS) and/or Dual Special Needs Program (D-SNP/ FIDE)
  • Collaborate with members, authorized representatives, PCPs, and other care team participants to coordinate and develop care plans
  • Mentor new hires once a level of proficiency has been attained in their role
  • Travel 50 to 75% in Union County and surrounding counties
Requirements
  • 3+ years of clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care
  • Active and unrestricted RN license in NJ
  • Must reside in Union county or an adjacent county
  • 50 to 75% travel in Union County and surrounding counties
  • Successful completion of the NJ Choice certification is a contingency of employment
Benefits

Our company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits.

CVS Health is committed to providing a positive work environment and offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.

Additionally, employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time, and other time off are provided consistent with relevant state law and Company policies.

Estimated salary for this role is between $72,627.36 and $155,538.24 per year, based on experience, education, geography, and other relevant factors. This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.

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