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Clinical - Care Manager I (RN)
Columbus, OH
Job Description
Title: Clinical - Care Manager I (RN)
Duration: 03 Months
Remote - OH
Monday - Friday 8 AM - 5 PM EST
Licenses/Certifications: Current state's RN license.
Description -
Position Purpose: 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
Qualifications -
Education/Experience:
Graduate from an Accredited School of Nursing.
Bachelor's degree in Nursing preferred.
2+ years of pediatric clinical nursing experience in a clinical, acute care, or community setting.
Prior case management experience required.
Knowledge of healthcare and managed care preferred.
Florida residency required.
Knowledge of healthcare and managed care preferred.
Medicare/DSNP experience
Telephonic case management experience
Prior experience working in a remote role preferred.
Bilingual in Spanish and English is preferred.
*Pediatrics - birth to 21
*Work-from-home case management role
SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at nahr@spectraforce.com if you require reasonable accommodation.
Duration: 03 Months
Remote - OH
Monday - Friday 8 AM - 5 PM EST
Licenses/Certifications: Current state's RN license.
Description -
Position Purpose: 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
Qualifications -
Education/Experience:
Graduate from an Accredited School of Nursing.
Bachelor's degree in Nursing preferred.
2+ years of pediatric clinical nursing experience in a clinical, acute care, or community setting.
Prior case management experience required.
Knowledge of healthcare and managed care preferred.
Florida residency required.
Knowledge of healthcare and managed care preferred.
Medicare/DSNP experience
Telephonic case management experience
Prior experience working in a remote role preferred.
Bilingual in Spanish and English is preferred.
*Pediatrics - birth to 21
*Work-from-home case management role
SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at nahr@spectraforce.com if you require reasonable accommodation.
Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
2+ years
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