RN Care Coordinator

3 weeks ago


Somerville, Massachusetts, United States Della Infotech Full time
Care Management RN Job Description

At Della Infotech, we are seeking a skilled RN Care Manager to join our team. As a Care Manager RN, you will play a critical role in assisting with care coordination for our Medicaid population. This is a fully remote position, and we require candidates to have experience in care management and care coordination.

Key Responsibilities:
  • Provider searches and support with referral follow-up
  • Coordination and consultation with providers and other members of the team
  • Connection with specialty care where indicated
  • Prior authorization issues
  • Review and reinforcement of discharge instructions following procedures/surgery or hospitalization
  • Medication issues such as PA requests, etc
  • Assistance with continuity of care needs when coverage/benefits/provider networks have changed (redirection)
  • DME issues
  • Education on medical conditions and treatment
  • Education on appropriate use of services including emergency and urgent care
  • Advocacy and communication support
  • Education and connection to community resources and community partners for long-term support
  • Nurse/advise line follow-ups needed
  • Assist with DCf requests for accurate ID numbers, DME issues, provider issues, etc
  • Referral to behavioral health supports, social care support, recovery coach support

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