Registered Nurse Case Manager
Company: A-Line Staffing Solutions
Location: Brandon
Posted on: January 12, 2021
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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
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