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Healthcare Case Manager

2 months ago


Lynn, Massachusetts, United States Element Care Full time
{"title": "Case Manager II", "description": "Job Summary

Element Care seeks a skilled Case Manager II to provide comprehensive integrated case management for SCO members with complex needs and/or catastrophic illness or injury. This role requires a registered nurse with a strong background in healthcare and case management, as well as excellent communication and problem-solving skills.

Key Responsibilities
  • Collaborate with treating physicians, ancillary providers, and family/caregivers to develop prioritized long/short-range goals.
  • Match patients' care needs to available resources, ensuring they stay at appropriate levels and make adjustments when necessary.
  • Assess clinical information to develop treatment plans and appropriate outcomes.
  • Identify cases with potential for high-risk complications and serve as an advocate for members' healthcare needs.
  • Evaluate the quality of necessary medical services and identify cases that would benefit from alternative care.
  • Recommending opportunities to maximize cost effectiveness.
Requirements
  • Registered Nurse currently licensed in the Commonwealth of MA.
  • Bachelor's Degree (preferred) in a related Health/Nursing field.
  • Minimum of 5 years relevant experience in healthcare and/or case management field.
  • Experience working on the community level and with community agencies preferred.
  • Eligible for Case Management Certification.
  • Proficient in the use of MS Office tools.
  • Experience working with case management data systems.
  • Able to travel locally on a frequent basis.
About Element Care

Element Care is an Equal Opportunity Employer. We value diversity and contribute to an inclusive working environment.

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