Care Manager RN

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  • 17-00198
  • Direct Placement
  • Case Management
  • kalamazoo, MI
Job Description
JOB TITLE
Care Manager RN

CLIENT COMPANY OVERVIEW
Our client prides itself on delivering comprehensive care to Medicare, Medicaid, and complex-needs patients, with a focus on the underserved population. For well over a decade they work in concert with patients, providers, and health plans. It's all about the harmony of a patient's care, health, and dignity

SUMMARY:
Acts as an advocate to patients. An autonomous role that coordinates and manages tasks/interventions associated with the patient's care plan. Manages patients by providing high frequency of outbound contacts with patient and/or their responsible party or their caregiver. Works with multi-disciplinary care team to develop interventions/changes to care plan in response to patient's health care and psycho-social needs

JOB DUTIES

  • Knowledge of Medicare and Medicaid reporting requirements preferred.
  • Documents patient care plan tasks, goals, and interventions.
  • Assist with identification of high risk patients that require a high frequency of care coordination and contact
  • Perform outbound calls to patients approved by the multi-disciplinary team
  • Must document significant specialty and diagnostic services and outcomes in patient care plan.
  • Identifies caregiver training needs and tracks impact of needs and or training
  • Assist with discharge planning/coordination to ensure all post-discharge services required are in place and patient has scheduled post-discharge appointment
  • Identifies the appropriate utilization of resources across the continuum of care
  • Maintains patient/caregiver care plan compliance reporting. Submits reports to interdisciplinary care team weekly.
  • Participates in quality improvement and evaluation processes
  • Coordinates and directs the retrieval of diagnostic results from specialty referrals back to the clinic
  • Works closely with the Pharmacy Benefit Manager and community pharmacies to help coordinate medication accessibility and medication refills.
  • Demonstrates the ability to triage and apply critical thinking skills
  • Ability to work in a fast paced environment; demonstrates ability to perform multiple concurrent tasks with minimal supervision and meets deadlines.
  • Ability to communicate effectively in writing and verbally
  • Must have knowledge of Microsoft Office.
  • Prior UM experience a plus.

QUALIFICATIONS

  • Current RN License in good standing in the state of practice required.
  • Minimum of 3 years' experience in an acute care setting as a health care professional in a clinical area

COMPENSATION | POSITION CLASSIFICATION

  • $60,000 – $70,000
  • Monday – Friday (days)
  • Contract/project – possible temp to hire

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