Case Manager

Healthcare Without Rival

Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care – in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions. 
 
Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations. 
 
Premise offers a wide range of dynamic, purpose-driven career opportunities. We are currently looking for a full time, Case Manager (RN) Registered Nurse in Wilmington, DE. 

The schedule for this position is Monday- Thursday 7:30a-5p & Friday 7:30-11:30a

PURPOSE OF THE POSITION

Provides clinical, casework, and group work services by performing the duties listed below.

ESSENTIAL JOB FUNCTIONS

• Assesses the coordination and access to needed medical, psychiatric, social, educational, and other services essential for meeting the health needs of the individual
• Coordinates assessment, treatment planning, and return to work processes with the employee, providers, and employer
• Assesses and evaluates cases and prepares and implements treatment and case management plans using benchmarking to guide practices and timelines
• Coordinates and provides care that is safe, timely, effective, efficient, equitable, and patient-centered
• Counsels clients, assisting them to identify and resolve problems and make effective use of resources
• Maintains collaborative working relationships with other community providers to develop specialized services as required
• Acts as liaison between client employees, providers, and agency or institution
• Assists clients in finding ways of adjusting to changes in physical capabilities that will allow for a life/work style as comfortable as the situation will permit.
• Promotes quality and cost-effective interventions and outcomes
• Provides consultation to staff on specific cases
• Prepares and maintains written case records, reports, and forms, performs case follow-up and closing, and performs other administrative tasks as required
• May perform duties telephonically as well as conducting on-site visits
• May require other duties as assigned

BASIC QUALIFICATIONS

Education:  

• Certificate from an accredited Nursing School or Associate Degree (A.S.) required; Bachelor's Degree (BSN) from four-year college or university preferred.
• Currently licensed Registered Nurse in state of practice required. 
• Current hands on training in AHA or ARC Basic Life Support for health care providers is required. Advanced Cardiac Life Support may also be required based on contract scope of services.
• Case Management (CCM) Certification, AANC – CM, American Academy of Case Management (AACM), COHN-S/CM, Certification in Occupational Health Nursing, Certification in Emergency Nursing, or Certificate in Case Management preferred.

Experience:  

• At least three years’ experience as a Registered Nurse in an emergency room, occupational health clinic or other ambulatory care clinic.
• Occupational health experience required.
• Workers Comp experience required.

Knowledge and Skills:  

• Knowledge of Internet software, Spreadsheet software and Word Processing software.
• Knowledge and experience with Electronic Medical Records preferred.
• Knowledge of workplace health and safety concepts and OSHA regulations preferred.

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers benefits packages including medical, dental, vision, life insurance, 401(k), paid holidays and vacation time, a company-sponsored wellness program, and much more our talent acquisition team will be happy to share with you. 

Premise Health is an equal opportunity employer; we value inclusion, and we do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status or disability status.