Care Manager, RN

Emploi pas sur LinkedIn

🔥 il y a 20 heures

🦀 Maryland – Distant

infoinfo

💵 $88 000 - $97 000 / an

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

👔 Manager

🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Maryland Primary Care Physicians

Maryland Primary Care Physicians

201 - 500 employés

Fondée en 1996

🏥 Santé

👥 B2C

🧘 Bien-être

Healthcare • B2C • Wellness

Maryland Primary Care Physicians est un groupe de soins primaires appartenant à des médecins, desservant les familles dans toute la région centrale du Maryland. Offrant des soins complets centrés sur le patient dans plusieurs bureaux, ils fournissent des soins primaires et préventifs, des services pédiatriques et familiaux, des consultations pour maladies le jour même, des services de télémédecine après les heures de bureau et le week-end, des analyses de laboratoire sur place, ainsi que des services spécialisés intégrés comprenant la cardiologie, l'endocrinologie, la génétique et la nutrition. La pratique met l'accent sur la continuité des soins, l'ancrage communautaire, la prise de rendez-vous en ligne, un portail patient accessible 24h/24 et 7j/7, et des soins coordonnés à travers les spécialités pour accompagner les patients à chaque étape de leur vie.

Description

• 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

🎯 Exigences

• 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)

🏖️ Avantages

• 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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