Clinical Care Manager

4 weeks ago


Lewiston, Maine, United States Medix Full time
Job Description

The telephonic Nurse Care Manager will guide members through complex medical and behavioral health situations, partnering with a multidisciplinary clinical team to deliver integrated remote care. This role requires a strong clinical acumen to guide members clinically and navigate available benefits and resources.

Key Responsibilities:

  • Deliver coordinated, patient-centered virtual care management by telephone and/or video to improve members' health outcomes.
  • Generate impactful care plans together with members and the care team, and help members achieve desired goals.
  • Help members navigate complex medical conditions, treatment pathways, benefits, and the healthcare system.
  • Partner with local providers to ensure coordinated care.
  • Provide compassionate, longitudinal follow-up care, building supportive relationships.
  • Assist throughout acute healthcare episodes, such as hospitalizations and rehabilitation stays, providing coordinated case management to support the member and their family.
  • Coordinate necessary resources to address members' problems, whether clinical or social.

Qualifications:

  • Bachelor of Science in Nursing (BSN).
  • Current CCM Certification.
  • 5+ years of experience in nursing preferred.
  • 2+ years of experience working in care management.
  • Must reside in a compact NLC state.
  • Active Compact RN license in good standing with the nursing board of their state.
  • Active California Nursing License required.
  • Willingness to become (and maintain) licensure in multiple states.
  • Comfortable discussing a wide variety of medical conditions and experience with populations across the age ranges.
  • Experience working remotely preferred; comfortable with technology and multiple computer/medical record systems.
  • Highly empathetic, as this role involves working with patients and their families during challenging times.


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