RN Case Manager

2 weeks ago

Charleston, West Virginia, United States CAI Full time
Job Summary

We are seeking a highly motivated and experienced Registered Nurse Case Manager to join our team in Delaware. As a RN Case Manager, you will be responsible for providing community-based care coordination and management services to our clients in the state of Delaware. This is a full-time, hybrid role that requires travel to members' homes, nursing facilities, and other community-based settings.

Key Responsibilities
  • Travel to members' homes, nursing facilities, and other community-based settings to complete 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 care plans in conjunction with members or caregivers to identify services to meet their specific needs and goals.
  • Collaborate with the member's healthcare and service delivery team to coordinate care needs and community resources.
  • Document all case management services and interventions in the electronic health record.
Requirements
  • Current Registered Nurse license in the state of Delaware.
  • 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 providers, and other healthcare professionals.
  • Experience with ordering DME equipment and educating members or caregivers regarding healthcare needs, available benefits, resources, and services.
  • Ability to work flexible hours to meet member needs and travel throughout the state.
Preferred Qualifications
  • Certified Case Manager (CCM) certification.
  • Licensed Bachelor's Social Worker (LBSW), Licensed Master's Social Worker (LMSW), or Licensed Clinical Social Worker (LCSW) certification.
  • Experience working with HIV/AIDS, behavioral health, developmental disabilities, and other vulnerable populations.
  • Medicare and Medicaid experience.
Equal Employment Opportunity Policy Statement

CAI is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.

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