Registered Nurse Case Manager

Company: A-Line Staffing Solutions
Location: Brandon
Posted on: January 12, 2021

Job Description:

A Registered Nurse Case Manager is needed for a major managed care company!MUST BE IN one of the following counties to be considered:* Polk* HillsboroughRemote due to COVID restrictions Day to Day Responsibilities of this Position and Description of Project:* 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* Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes* 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* Provide patient and provider education* Facilitate member access to community based services* Acts as a liaison and member advocate between the member/family, physician and facilities/agencies.* 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.* Assists in implementation of market specific strategies that improve on the quality and outcomes of member's care.* Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience* Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems* Direct care to participating network providers* Perform duties independently, demonstrating advanced understanding of complex care management principles* Participate in case management committees and work on special projects related to case management as needed* Performs other duties as assigned.Job Requirements:Required Skills:1.Ability to work independently2.Demonstrated time management and priority setting skills3.Demonstrated interpersonal/verbal communication skills4.Ability to create, review and interpret treatment plans5.Knowledge of or the ability to learn company approved softwarePreferred:* Minimum 2 years pediatric experience, prefer bilingual, Spanish speakingDetails:* M-F 8 AM - 5 PM* 6 month contract only* M-F 8 AM - 5 PM; 40 hours per week

Keywords: A-Line Staffing Solutions, Brandon , Registered Nurse Case Manager, Executive , Brandon, Florida