RN Case Manager/ RN Care Manager

We are aggressively seeking a RN Case Manager/ RN Care Manager to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours, a competitive salary, and be a RN Case Manager/ RN Care Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require a RN Case Manager/ RN Care Manager who can provide a high level of detail. If you are a seasoned RN Case Manager/ RN Care Manager and you meet the qualifications listed below, please click apply below for consideration!

Daily Responsibilities:

• True case management, interacting with patients and managing their clinical care
• Will be focused on patients in acute and post acute stages of care
• Will be involved with discharge planning, so that will be important experience to have

Essential Function:

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

Hours for this Position:

Monday - Friday Daytime Hours

Requirements:

• RN license & associate’s degree in Nursing
• Must have discharge planning experience – not flexible on this
• Must have inpatient hospital experience (MED-SURG is ideal) – at least about 2 years
• Computer skills! Must be comfortable & able to learn computer systems.

Preferred but not Required:

• Interqual or Milliman experience
• Utilization review experience
• Case management experience highly preferred!

Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Health insurance
• Dental insurance
• Vision insurance
• Flexible spending accounts (includes health care, dependent care mass transit reimbursement)
• Short- and long-term disability insurance
• Basic Life insurance
• Supplemental AD&D
• Supplemental life insurance
• Wellness Program
• 401(k) retirement with company match
• Employee stock purchase plan
• Vacation, Personal and Sick time
• Paid Company Holidays
• Employee Assistance Program (EAP)
• Training and Learning Opportunities
• Tuition Reimbursement/Educational Assistance
• Service Awards
• On-site fitness center or discount at local fitness centers (most locations)
• Discounts for select local and national products and services, including cell phones, computers and more
• Other amenities may be available, but vary by location
• Fun and positive work environment

Interested in being considered?

If you are interested in being considered for the position, please contact Courtney Phelps at 407-478-0332 ext 232.