Nurse Case Manager

Found in: Lensa US P 2 C2 - 2 weeks ago

Washington, United States Medix Full time

Are you looking for a flexible schedule? Are you looking to make a positive impact to those with complex care needs? We are hiring a Nurse Case Manager (RN - DC License). The Care Manager is responsible for providing comprehensive care coordination services to members who have moderate to complex medical and psycho-social needs enrolled in the health plan.

The RN routinely communicates with members on their assigned caseload to assess their needs; develop, monitor and evaluate treatment plan progress; and assist with coordinating care and referring to appropriate services for members who have moderate to complex care needs.

DUTIES:

  • Manages a caseload as outlined by CASSIP and Care Management Leadership.
  • Conducts outreach and face-to-face visits at a frequency no less than determined by the enrollee's assigned stratification level or more if needed, with each enrollee/caregiver in their homes, physician's offices, or other mutually agreed upon locations.
  • Identifies over/under utilization promptly, and takes appropriate action according to organizational policy.
  • Upon gathering health and mental/behavioral health, environmental, psychosocial and educational information, the CM develops, implements, and updates an accurate individualized comprehensive care coordination plan for each assigned enrollee in collaboration with the PCP and/or other multi-disciplinary team members including public agencies.
  • Completes routine care coordination and care management activities with attention to quality, timeliness and in compliance with company policy and national standards.
  • Accurately and timely documents enrollee findings and interactions according to organizational policy.

SPECIFICS:

  • Requirements

    RN DC License

  • Hours

    Monday - Friday 8:30 AM - 5:00 PM (Full time)
  • Hybrid Based: A mix of remote and field work; field work as needed based on acuity of patients

  • Location

    Washington District Of Columbia 20005 United States

  • Pay

    $40-50/hr (negotiable - depending on experience)
Medix #MedixNE

by Jobble

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