RN CASE MANAGER

Perform care management duties to assess, plan and coordinate all aspects of medical and supportive services across the continuum of care for select members to promote quality, cost-effective care.

Training 1-2 weeks onsite

Job description
• 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 option
• Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals, and interventions designed to meet member's needs and promote desired outcomes
• 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
• 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.

RN with case management experience

All your information will be kept confidential according to EEO guidelines.