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Care Manager RN
2 months ago
We are seeking a skilled RN Case Manager to join our team at Strategic Staffing Solutions. As a RN Case Manager, you will lead the coordination of a multidisciplinary team to deliver a holistic, person-centered care management program to a diverse health plan population with a variety of health and social needs.
Key Responsibilities- Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonically and/or digitally.
- Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members' health across the care continuum.
- Assess the member's health, psychosocial needs, cultural preferences, and support systems.
- Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promote improved overall health outcomes.
- Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services, and disease-specific services).
- Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family.
- Advocate for members and promote self-advocacy.
- Deliver education to include health literacy, self-management skills, medication plans, and nutrition.
- Monitor and evaluate effectiveness of the care management plan, assess adherence to care plan to ensure progress to goals and adjust and reevaluate as necessary.
- Accurately document interactions that support management of the member.
- Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care.
- Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency.
- Adhere to professional standards as outlined by protocols, rules, and guidelines meeting quality and production goals.
- Nursing Diploma or Associates degree in nursing required.
- Bachelor's degree in nursing strongly preferred.
- 3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.
- 1 year of case management experience in a managed care setting strongly preferred.
- Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred.
- Certification in Case Management (CCM) required or to be obtained within 18 months of hire.
- Certification in Chronic Care Professional (CCP) preferred.
