RN Case Manager

Emploi pas sur LinkedIn

🕒 il y a 21 jours

🇺🇸 États-Unis – Télétravail

💵 $75 000 - $95 000 / an

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👔 Manager

👻 Score fantôme 4%

Ce que ça veut dire : la probabilité que cette offre reste ouverte sans recrutement actif.Comment le lire : 60 % ou plus, on pense que c'est une offre fantôme. Un score plus bas est moins inquiétant.Comment on la calcule : ancienneté, republications, postes ouverts vs taille de l'équipe, rapidité de clôture, et si le salaire est indiqué.À noter : une estimation à partir de données publiques, pas un jugement sur l'entreprise. De vraies offres peuvent avoir un score élevé, alors prenez-le comme un indice, pas comme un fait.

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EXL

Site WebLinkedInTous les Emplois

10 000+ employés

🏥 Santé

🛡️ Assurance

📦 Logistique

💰 €2 000 000 Venture Round en 2015-01

Healthcare • Insurance • Logistics

Choisir un partenaire digital ne concerne pas seulement les capacités — c’est également une question de collaboration et de caractère.

Description

• Conduct comprehensive assessments and analyze findings to identify and prioritize clinical, psychosocial, and behavioral concerns and gaps in care • Develop and document individualized case management care plans with beneficiaries, families, physicians, and healthcare providers • Document issues, goals, evidence-based interventions, resources, time frames, and barriers in care plans • Coordinate and implement care plan activities, benefits coverage, continuity of care, and service integration across care transitions • Monitor and evaluate care plans, outcomes, and goals; revise plans as needed • Initiate care conferences with the Medical Director and multidisciplinary care team for challenging cases • Advocate for beneficiaries and promote self-determination, shared decision-making, autonomy, self-advocacy, and self-care management • Identify benefit-related, educational, healthcare, and community resources and facilitate care coordination • Apply comprehensive case management, patient-centered, culturally sensitive care coordination, and complex-condition management principles • Collaborate with beneficiaries, caregivers, providers, multidisciplinary teams, and community resources • Participate in training, professional development, team conferences, and meetings • Document clinical information accurately and timely • Follow professional standards, policies, procedures, applicable regulations, privacy requirements, and HIPAA

🎯 Exigences

• Current, unrestricted Registered Nurse license in the state of residence • Ability to obtain multi-state licensure • United States citizenship required • Ability to obtain required security clearance; current DOD Security Clearance preferred • Associate or bachelor's degree in nursing from an accredited institution; bachelor's degree preferred • 5+ years of clinical RN experience in direct patient care • Knowledge of case management practices and patient-centered care concepts • Proficiency in Microsoft Office, mobile technologies, and navigating multiple applications • Ability to adapt to changing priorities • Prior case management experience preferred • Case Management Certification (CCM) preferred • Experience working in an NCQA and URAC accredited case management program preferred • Telephonic case manager experience at a health plan preferred • Ability to work independently in a home office environment • Must maintain CEUs as required by applicable State Boards of Nursing and required certifications • Must be willing to obtain and maintain additional licenses as required to meet business needs • Knowledge of applicable federal and state regulations, patient confidentiality, release of information, and HIPAA

🏖️ Avantages

• Supportive, fast-paced, innovative work environment • Opportunity to work closely with experienced healthcare consultants • Exposure to multiple aspects of clients’ businesses • Mentoring program with senior-level professional advisors • Professional growth and development opportunities • Ongoing training and professional development • Team meetings and collaboration opportunities