Complex RN Case Manager, Optum Network of Connecticut
3 days ago
As a RN Case Manager with Optum Network of Connecticut, you will play a vital role in sustaining the health and well-being of our community. Our team is dedicated to delivering exceptional care and service, and we are seeking a skilled and compassionate professional to join our ranks.
Position Details- Location: Telecommuter position, with occasional travel to Farmington, CT for training and meetings
- Department: Case Management
- Schedule: Full-time, 40 hours/weekly, Monday through Friday, 8:00AM - 4:30PM
- Member Care Coordination: Work closely with physicians to coordinate care plans and communicate with the healthcare team on behalf of the member
- Member Referral Support: Assist physicians, members, and their families in obtaining referrals to needed specialists, providing support and counseling as needed
- Care Plan Development: Work with designated physicians to develop and maintain member care plans
- Clinical Improvement: Participate in the development and deployment of coordination of care activities to improve the clinical experience for referred members and the referring physician
- Liaison: Communicate with members of the care team to coordinate the identified member and physician's needs
- Provider/Member Education: Educate members and care team participants on community/health plan benefit services available
- Bachelor's Degree in Nursing (BSN)
- Unrestricted current CT Nursing License
- 2+ years of experience managing complex disease states
- 2+ years of telephonic health plan case management
- Experience with Electronic Health Records (Allscripts, Epic)
- Knowledge and understanding of NCQA/ACO/CDO regulations and standards
- High proficiency with navigating multiple complex computer programs (including but not limited to Microsoft Products, Adobe)
- Ability to travel up to Farmington, CT for training and meetings as needed
- Master's Degree in Nursing (MSN)
- Certified Case Manager Certification (CCMC)
- 5+ years of experience as a nurse case manager
- 5+ years of experience managing complex disease states
- 2+ years of utilization management or concurrent review experience
- Experience in a remote work setting
- Bilingual with English and Spanish, Polish, Mandarin, or Vietnamese
-
Registered Nurse Case Manager
3 days ago
Somers, Connecticut, United States Quality Talent Group Full timeAbout the JobQuality Talent Group is seeking a skilled Registered Nurse Case Manager to join our team at a 5-star rated facility in Westchester County. As a Registered Nurse Case Manager, you will have the opportunity to work in a beautiful setting and provide high-quality care to residents.ResponsibilitiesAdminister medications and treatments to...
-
Somers, Connecticut, United States Soliant Full timeJob SummaryWe are seeking a dedicated Med-Surg Nurse for a 13-week travel contract in Stafford Springs, Connecticut.Key ResponsibilitiesProvide exceptional patient care in a fast-paced medical-surgical unit.Collaborate with the healthcare team to ensure high-quality patient outcomes.Participate in ongoing education and training to stay current with best...
-
Somers, Connecticut, United States Soliant Full timeJob OpportunityWe are seeking a dedicated Med-Surg Nurse for a 13-week travel contract in Stafford Springs, Connecticut.Key Responsibilities:Provide exceptional patient care in a fast-paced medical-surgical unit.Work a 3-12 shift schedule.Requirements:Minimum 1+ years nursing experience.Active state RN licensure.AHA BLS and ACLS certification.Soliant is...
-
Somers, Connecticut, United States Soliant Full timeJob OverviewSoliant is seeking a dedicated Med-Surg Nurse for a 13-week travel contract in Stafford Springs, Connecticut.Job RequirementsMinimum 1+ years nursing experience required.Active state RN licensure required.AHA BLS and ACLS certification required.Job DetailsThis role involves providing exceptional patient care in a fast-paced medical-surgical unit....
-
Nurse Substitute
3 weeks ago
Somers, Connecticut, United States Somers Public Schools Full timeJob Summary:Seeking a skilled and compassionate Substitute Nurse to provide high-quality healthcare services to students in a dynamic and supportive environment. As a Substitute Nurse, you will play a vital role in ensuring the health and well-being of our students, working closely with our healthcare team to provide exceptional care.Responsibilities:•...
-
Sales Development Representative
4 weeks ago
Somers, Connecticut, United States Martignetti Companies Full timeJob Overview We are seeking a highly motivated and results-driven individual to join our team as an Associate Sales Representative. As a key member of our sales team, you will be responsible for building new brands and expanding distribution across our portfolio. This is an exciting opportunity to work with a dynamic company that values its employees and...
-
Speech Language Pathologist
4 weeks ago
Somers, Connecticut, United States Soliant Full timeSpeech Language Pathologist OpportunitySoliant is seeking a motivated Speech Language Pathologist to join our team in a school-based setting near Somers, WI.Job SummaryWe are looking for a qualified SLP to work with students to enhance their speech and language skills. The ideal candidate will have a Master's Degree in Speech Language Pathology, State...
-
Speech Language Pathologist
4 weeks ago
Somers, Connecticut, United States Soliant Full timeSpeech Language Pathologist OpportunitySoliant is seeking a motivated Speech Language Pathologist to join our team in a school-based setting near Somers, WI.Job Summary:We are looking for a qualified SLP to work with students to enhance their speech and language skills. The ideal candidate will have a Master's Degree in SLP, State License, and experience...
-
Speech Language Pathologist
3 weeks ago
Somers, Connecticut, United States Soliant Full timeSpeech Language Pathologist OpportunitySoliant is seeking a skilled Speech Language Pathologist to join our team in a school-based setting. As a Speech Language Pathologist, you will work with students to enhance their speech and language skills.Key Responsibilities:Conduct assessments and develop treatment plans to address students' communication...
-
Nurse Admissions Coordinator
2 days ago
Somers, Connecticut, United States BAYADA Home Health Care Full timeRegistered Nurse (RN) Home Health AdmissionBAYADA Home Health Care is seeking a skilled Registered Nurse (RN) to join our team as a Home Health Admission professional in Street, Maryland.Job Description & RequirementsSpecialty: AdmissionDiscipline: RNDuration: OngoingEmployment Type: StaffWe have a part-time opportunity open now for a Registered Nurse to...
-
Clinical Marketing Liaison
4 weeks ago
Somers, Connecticut, United States The Paramount at Somers Rehabilitation and Nursing Center Full timeJob Title: Clinical Marketing LiaisonThe Paramount at Somers Rehabilitation and Nursing Center is seeking a highly motivated and experienced Clinical Marketing Liaison to join our team. As a key member of our marketing team, you will be responsible for building and maintaining strong relationships with hospitals, senior living facilities, local senior...
-
Clinical Marketing Liaison
7 days ago
Somers, Connecticut, United States The Paramount at Somers Rehabilitation and Nursing Center Full timeUnlock Your Potential as a Clinical Marketing LiaisonThe Paramount at Somers Rehabilitation and Nursing Center is seeking a highly motivated and experienced Clinical Marketing Liaison to join our team. As a key member of our marketing team, you will be responsible for building strong relationships with hospitals, senior living facilities, local senior...
-
Sales Development Representative
3 days ago
Somers, Connecticut, United States Martignetti Companies Full timeJob Title: Associate Sales RepresentativeAt Martignetti Companies, we are seeking a highly motivated and results-driven Associate Sales Representative to join our team. As a key member of our sales team, you will be responsible for building and maintaining relationships with our customers, identifying new business opportunities, and driving sales growth.Key...
-
Licensed Practical Nurse
4 weeks ago
Somers, Connecticut, United States IntelyCare Full timeJob SummaryWe are seeking a skilled Licensed Practical Nurse (LPN) to join our team at IntelyCare. As an LPN, you will provide compassionate nursing care to patients in post-acute facilities, monitoring their physical and mental conditions and tracking their vital signs. You will also perform resident intakes, document medical histories, and administer...
-
RN - Somers, NY, United States
4 weeks ago
Somers, Connecticut, United States Civility Home Care Full timeAbout the RoleWe are seeking dedicated and compassionate Registered Nurses to provide high-quality care to our clients in the comfort of their own homes. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of our patients and their families.ResponsibilitiesProvide wound and dressing care, IV therapy, and pain...
-
Night Crew Clerk
2 weeks ago
Somers, Connecticut, United States Big Y Full timeJob SummaryWe are seeking a highly motivated and detail-oriented Night Crew Clerk to join our team at Big YNon. As a Night Crew Clerk, you will be responsible for receiving, unloading, verifying, and storing product, as well as maintaining proper department conditions and supplies.Key ResponsibilitiesReceive, unload, verify, and store product in a timely and...
-
Client Services Representative
1 month ago
Somers, Connecticut, United States Stateline Senior ServicesStateline Financial Services Full timeAbout Stateline Senior Services At Stateline Senior Services, we specialize in providing expert insurance and investment solutions tailored to the unique needs of retirees and soon-to-retire individuals. Our team of professionals is dedicated to helping clients navigate the complexities of Medicare coverage and wealth planning, ensuring they make the most of...
-
Clinical Nurse Specialist
3 weeks ago
Somers, Connecticut, United States Visiting Rehab and Nursing Services Full timeVisiting Rehab and Nursing ServicesWe are a fast-growing, clinician-owned company that truly cares and understands what home healthcare is all about. We are searching for an energetic Clinical Nurse Specialist to join our amazing team of clinicians that serves the Springfield residential area of Massachusetts. This Per Diem position offers a visit rate of up...
-
Nurse Practitioner
2 days ago
Somers, Connecticut, United States Quality Talent Group Full timeAbout the JobRegistered Nurse, RNDescription:Competitive benefits package for eligible candidatesAetna health insurance available on the first of the month after hire dateStarting at no cost, with day, evening, and overnight shifts availableJob Summary:Opportunity to work in a beautiful setting in the rolling hills of North Salem with a 5-star rated facility...
-
MDS Director
3 days ago
Somers, Connecticut, United States Evergreen Center for Health & Rehabilitation Full timeEvergreen Center for Health & Rehabilitation is seeking a dedicated and detail-oriented MDS Director to lead our Minimum Data Set (MDS) program. As an MDS Director, you will be responsible for ensuring compliance with state and federal regulations, managing the MDS program, and driving continuous improvement in nursing care. Key Responsibilities: * Lead...