RN Complex Case Manager Hybrid-Ohio Counties

4 days ago

Bellefontaine, Ohio, United States Acentra Health Full time
Empowering Better Health Outcomes

Acentra Health is a leading provider of innovative health solutions, empowering better health outcomes through technology, services, and clinical expertise.

Job Summary

We are seeking a skilled RN Complex Case Manager to join our team in Ohio Counties. As a key member of our care coordination team, you will provide in-home, in-person care coordination in defined areas of coal mine states and telephonic care coordination across the United States.

Key Responsibilities
  • Assess, plan, implement, and evaluate options and services to create an individualized plan for beneficiaries across the continuum of care.
  • Use independent nursing judgment and discretion to address, resolve, and process problems impeding diagnostic or treatment progress.
  • Develop beneficiary-centered care plans demonstrating shared accountability between beneficiaries, caregivers, and providers.
  • Coordinate health and social services, coach beneficiaries and families, advocate for beneficiaries, educate beneficiaries and family members, clarify, and assist with physician care plans.
  • Ensure day-to-day processes are conducted in accordance with the Utilization Review Accreditation Commission (URAC) and other regulatory standards.
Requirements
  • Bachelor of Science in Nursing (BSN)
  • Public Health Nursing experience and geriatric nursing care
  • Strong communication, interpersonal, organizational, time management, and communication skills with a strong focus on customer service
  • Ability to research/identify and apply appropriate standards of care
  • Interest in continuous learning and a commitment to staying informed on regulatory changes
What We Offer

Acentra Health offers a comprehensive benefits package, including comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

We are an Equal Opportunity Employer and welcome applications from diverse candidates. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.

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