Apply📍 United States
🔍 Health Care
- Registered Nurse with current unrestricted license in state of residence
- Bachelor’s Degree in Nursing preferred
- National certification in Case Management desirable
- 5+ years’ relevant clinical experience
- Experience in home care or case management preferred
- Proficiency in second language desirable
- Experience in specialty areas such as oncology, neurology, chronic condition/disease management a plus
- Skill and proficiency in technical concepts and principles; computer software applications
- Skilled in assessment, planning, and managing member care
- Advanced communication and interpersonal skills
- Independent and autonomous with key job functions
- Ability to address multiple complex issues
- Flexibility and adaptability to changing healthcare environment
- Ability to organize and prioritize work and member needs
- Demonstration of strong clinical and critical thinking skills
- Administer assessments, collaborate with the member/caregiver and providers to develop a plan of care, implement member-specific CM interventions, and evaluate plan of care and revise as needed.
- Facilitate program enrollment utilizing key motivational interviewing skills
- Provide targeted health education, proactive strategies for condition management, and communication with key providers and vendors actively involved in the member’s care
- Perform both telephonic and face to face outreach to assess barriers to wellness, medical, behavioral, and psychosocial needs of the member.
- Collaborate with member/caregiver and the facility care team to coordinate a safe transition to the next level of care, which includes but is not limited to ensure understanding post-hospital discharge instructions, facilitate needed services and follow-up, and implement strategies to prevent re-admission
- Performs case documentation in applicable CM system according to department and regulatory standards
- Collaborates and liaises with the interdisciplinary care team, to improve member outcomes (i.e., Utilization Management, Medical Director, pharmacy, community health workers, dementia care specialists, wellness, and BH CM)
- Attend and present (as appropriate), high risk members at interdisciplinary rounds forum
- Maintain professional growth and development through self-directed learning activities
- Other duties and projects as assigned.
SQLCommunication SkillsMicrosoft OfficeInterpersonal skillsCritical thinking
Posted 2 days ago
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