RN Case Manager Team Lead

3 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.
  • Conduct regular 1:1 meetings with RN/CM team members and ensure successful completion of required training.
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 and automobile insurance according to company policy.
Working Conditions:
  • Position may require flexible hours, unscheduled overtime, or occasional weekend work.
  • Travel may be required.

TruHealth LLC is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to providing a work environment that is free from discrimination and harassment. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the job.



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