RN Care/Case Manager

About the Job:

1. Strictly telephonic
2. Working as a case/care manager for all ages from Peds to Geriatric, coordinating services and identifying barriers to care (Medicare & Medicaid members).
3. Keeping patients on track with care plans and educate them about their conditions and treatments.
4. Could be contacting providers (doctors) to clarify information/plans and then relaying that info back to the patient.
5. Flagging any potential issues and teach patients how to know when they should get themselves to a hospital.

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care

• Develop, assess and adjust, as necessary, the care plan and promote desired outcome
  
• Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
• Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
• Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
• Provide patient and provider education
• Facilitate member access to community based services
• Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan
• Actively participate in integrated team care management rounds
• Identify related risk management quality concerns and report these scenarios to the appropriate resources
• Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems

• RN license
• Several years of of clinical nursing experience in an acute care or other setting.
  
• Proficiency in Excel & other MS products, email, etc.
  
• Will not be writing things down in a chart and then inputting them later; they'll be talking on the phone with a patient or provider and data entering into the computer simultaneously. Don't need to be "experts," but need to be able to navigate around a computer while multitasking
  
• Soft skills: need to be okay with change and not need a lot of individual attention. Good conflict resolution and team work skills
  

Hours for this Position:

M-F 8-5

Advantages of this Opportunity:

• Competitive salary
  
• Fun and positive work environment
• Matching on 401K
• Ticket into Managed Care

Want More Information?

• If you are interested in applying to this position, please contact Ashley Greene at 407-478-0332 ext 169 or email and click the Green I’m Interested Button to email your resume.