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Registered Nurse
2 months ago
We are seeking a highly skilled Registered Nurse to join our team as a Case Manager in Delaware. As a key member of our care coordination team, you will be responsible for providing community-based care management services to our clients in the state of Delaware.
Key Responsibilities- Travel to members' homes, nursing facilities, and other community-based settings to conduct face-to-face needs assessments and provide telephonic support.
- Assess, plan, coordinate, implement, and evaluate care for eligible members with chronic and complex healthcare needs.
- Coordinate care across the continuum of services, including physical, behavioral, long-term services and supports (LTSS), social, and psychosocial needs.
- Facilitate authorization, coordination, continuity, and appropriateness of care and services in community or HCBS settings.
- Develop and implement individualized care plans in conjunction with members or caregivers to identify services to meet specific needs and goals.
- Collaborate with healthcare and service delivery teams, including DSHP Plus LTSS Member Advocates, ICT, and discharge planners, to coordinate care needs and community resources.
- Ensure approved support services are being provided as outlined in the care plan.
- Evaluate the effectiveness of the service plan and make revisions as needed in accordance with policy and procedures.
- 5 years of intensive case management and discharge planning experience, including experience discharging members from a facility setting.
- Experience completing assessments, developing service plans, and care plans.
- Experience collaborating with PCPs, occupational therapists, behavioral health professionals, and providers.
- Experience with ordering DME equipment.
- Ability to work flexible hours to meet member needs.
- Proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook).
- Reliable transportation daily to travel within assigned territory.
- Ability to meet regulatory deadlines.
- Experience working with geriatric special needs, behavioral health, home health populations.
- Ability to communicate clearly with members, conduct assessments over the phone.
- Licensed Bachelor's Social Worker (LBSW).
- Experience working with HIV/AIDS, behavioral health, developmental disabilities populations.
- Medicare and Medicaid experience.
CAI is an equal opportunity employer and welcomes applications from diverse candidates. If you require a reasonable accommodation in completing this application, interviewing, or participating in the employment selection process, please direct your inquiries to [application].
