Care Manager, RN

Vaga não está no LinkedIn

🕒 Outubro 23

🦀 Maryland – Remoto

🦀 Maryland – Remote

💵 $88.000 - $97.000 / ano

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

👔 Gerente

👻 Score fantasma 0%

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• Aberta há 19 dias.
• As vagas desta empresa costumam ser preenchidas em 29 dias.

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Maryland Primary Care Physicians

SiteLinkedInTodas as Vagas

201 - 500 funcionários

Fundada em 1996

🏥 Saúde

👥 B2C

🧘 Bem-estar

Healthcare • B2C • Wellness

A Maryland Primary Care Physicians é um grupo de cuidados primários de propriedade de médicos que atende famílias em toda a região central de Maryland, oferecendo cuidados abrangentes centrados no paciente em vários locais. Oferecem cuidado primário e preventivo, serviços pediátricos e familiares, consultas para doenças agudas no mesmo dia, telemedicina após o horário e nos finais de semana, testes laboratoriais no local e serviços especializados integrados, incluindo cardiologia, endocrinologia, genética e nutrição. A prática enfatiza a continuidade do cuidado, raízes comunitárias, agendamento de consultas online, um portal do paciente para acesso 24/7 e cuidado coordenado entre especialidades para apoiar os pacientes em todas as fases da vida.

Descrição

• Plan, develop, implement, and provide timely oversight of care plans for members with identified Care Management needs • Improve coordination, continuity, accessibility, and appropriate utilization of healthcare services and community resources • Develop, maintain, and monitor processes for timely identification and assessment of high-risk and special-needs members • Serve as an interdisciplinary team member and perform clinical/social determinants of health assessments • Conduct telephone or face-to-face member interviews to identify risk factors and care management needs • Build professional networks with service and resource providers • Initiate, develop, plan, and implement care plans • Use clinical judgment to discharge members from care management • Maintain care management records and ensure data integrity in health plan information systems • Collect, evaluate, and report clinical, functional, and program activity data • Educate members' medical providers regarding special needs • Coordinate with community support and social service systems • Reduce care costs through service coordination and multidisciplinary collaboration • Assist with care management policy and procedure development • Communicate departmental, member, program status, and compliance issues to the supervisor/manager • Maintain patient confidentiality under HIPAA guidelines • Identify and report gaps in the service delivery system

🎯 Requisitos

• Registered Nurse with current state license • 2+ years of clinical nursing experience in acute care or community setting • Demonstrated experience helping members using community agencies • 2 years of care management experience • Ability to successfully utilize Microsoft Office suite and common computer and office hardware • Ability to conduct presentations and training before small and large groups • Knowledge of the Americans with Disabilities Act of 1990 • Demonstrated skill in written and oral communication, including presentations and training • Knowledge of Managed Care Programs (preferred) • BSN (preferred) • CCM (preferred)

🏖️ Benefícios

• Medical, dental, and vision plans • 100% employer Term Life Insurance • Short and Long-Term Disability • 401k Employer Match up to 4% • 20 days of PTO • Tuition assistance/professional development plans • Multiple work arrangements • Organizational-wide social opportunities • Diversity, Equity, and Inclusion commitment

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