RN Case Manager

3 days ago

Phoenix, Arizona, United States Adobe Care and Wellness LLC Full time
About Adobe Care and Wellness LLC

Adobe Care and Wellness LLC is a leading provider of healthcare services, dedicated to delivering high-quality care to our patients. We are committed to making a positive impact on the lives of those we touch.

Job Summary

We are seeking a skilled RN Case Manager to join our team. As a RN Case Manager, you will be responsible for assessing patient/family psychosocial needs, planning, implementing, procuring services for, and evaluating care needs. You will work closely with our interdisciplinary care team to ensure that our patients receive the best possible care.

Key Responsibilities
  • Evaluate members for case management services and determine the appropriate level of care coordination and management services for member.
  • Complete a comprehensive assessment and develop a care plan utilizing clinical expertise to evaluate members' need for alternative services.
  • Act as a primary case manager for all assigned SNP members.
  • Develop and monitor members' plans including progress toward meeting established goals and self-management activities.
  • Interact with members, family, physician(s), and other providers utilizing clinical knowledge and expertise to determine medical history and status.
  • Assess the options for care including the use of benefits and community resources to update the care plan.
  • Ensure facilitation, collaboration, and coordination with the care team.
  • Act as a resource for staff (i.e., Care navigators and LPN case managers).
  • Act as liaison and member advocate between the member/family, physician, and facilities/agencies.
  • Maintain accurate records of case management activities in the EMR using clinical guidelines.
  • Coordinate community resources, with emphasis on medical, behavioral, and social services.
  • Apply case management standards, maintain HIPAA standards and confidentiality of protected health information, and report critical incidents and information regarding the quality-of-care issues.
  • Ensure compliance with all state and federal regulations as well as corporate guidelines in day-to-day activities.
  • Adapt to changes in policies, procedures, new techniques, and additional responsibilities.
  • Participate with other Case Managers and Medical Directors in regular or special meetings such as Clinical rounds.
  • Perform other related duties as assigned by management.
Requirements
  • One (1) year of experience in case management is preferred.
  • Experience in the care of the elderly in some geographic regions is preferred.
  • Experience in home health, physician's office, or public health is preferred.
  • Bilingual (English/Spanish) is preferred.
  • Knowledge of HIPAA regulations.
Education, Licenses, and Certifications
  • Nursing Diploma or Associate's is required.
  • Bachelor's degree is preferred.
  • Licensed Registered Nurse (RN) is REQUIRED for the state of Arizona.
  • Must hold an active, current, and unrestricted RN license. This can be obtained either through direct state licensure or a compact license.
  • Certified Case Manager (CCM) is preferred.
  • Current TB Test.
  • Must maintain current CPR certification throughout employment.
Benefits and Total Rewards
  • Paid Onboarding and Training.
  • Insurance - Medical, Dental, Vision, and Life.
  • 401k Plan - 3% match.
  • Employee Assistance Program.
  • Tuition Reimbursement.
  • Continued Education Support.
  • Mileage Reimbursement (if applicable).
  • Referral Bonuses.
  • Paid Holidays (9 days).
  • Paid Time Off (15 days).
  • Paid Volunteer Hours.
Competencies and Character
  • Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
  • Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
  • Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
  • Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
  • Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
  • Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
  • Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
  • Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
  • Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.
Physical Demands and Work Environment
  • Occasionally required to stand.
  • Occasionally required to walk.
  • Continually required to sit.
  • Occasionally required to climb, balance, bend, stoop, kneel, or crawl.
  • Continually required to talk or hear.
  • While performing the duties of this job, the noise level in the work environment is usually moderate.
  • May occasionally lift and /or move more than 30 pounds.
  • Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing.
Equal Employment Opportunity

Adobe Care and Wellness LLC is an Equal Opportunity Employer where all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

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