RN Case Manager

Are you an experienced RN Case Manager looking for a new opportunity with a prestigious healthcare company? Do you have Disease Management experience within a Healthcare setting? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Hours for this Position: M-F 11:30 am- 8:00 pm

Pay Rate: $27.00- 30.00/hr

Daily Responsibilities:

• This is a telephonic role.
• • Make outreach calls to members with selected chronic conditions in order to obtain their consent for enrollment in the company’s disease management programs
• • Collect in-depth information related to members’ clinical history, treatment plan, medications; and analyze any gaps in care, using evidence based guidelines adopted by the company
• • Work with members enrolled in the program to develop care plans to address gaps in care, including problem identification, and establishment of goals and interventions
• • Use proven and established motivational techniques to influence member behavior
• • Track and trend progress toward closing gaps in care and achieving agreed-upon member goals
• • Work with members’ providers in order to coordinate care delivery and achieve agreed upon behavioral and clinical goals
• • Monitor effectiveness of care plan(s) and adjust interventions to achieve successful outcomes
• • Work collaboratively with the company’s medical directors, identifying members who would benefit from medical director input into care plans or from peer-to-peer discussion between medical director and provider
• • Coordinate services with outside resources, both medical and community based.
• • Support informed decision-making, self-care behaviors, problem-solving and active collaboration with the health care team
• • Identify and resolve issues interfering with a members’ health status and quality of life
• • Participate in ongoing quality assurance and improvement programs
• • Participate in on-going department education programs, clinical collaborative and disease management intact meetings

What We Look For:

• A minimum of an Associates in Nursing is required.
• Active, unrestricted registered nurse license in the state of Kentucky is required.
• At least 2-3 years clinical nursing experience required.
• Proficient Microsoft computer skills.

Interested in being considered?

TAKE THE NEXT STEP! Please click Apply Now to submit your resume for consideration. Interviews are being held next week!