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Job Requirements of Nurse Case Manager II:
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Employment Type:
Contractor
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Location:
Rhode Island, US (Onsite)
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Nurse Case Manager II
Careers Integrated Resources Inc
Rhode Island, US (Onsite)
Contractor
Job Title: Nurse Case Manager II
Job Location: RI
Job Duration: 6 Months (possibility of extension)
Payrate: $38.43/ hr on w2
Job Summary:
Job Location: RI
Job Duration: 6 Months (possibility of extension)
Payrate: $38.43/ hr on w2
Job Summary:
- Our Care Managers are frontline advocates for members who cannot advocate for themselves.
- They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
- Requires an RN with unrestricted active license
- Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness.
- Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits.
- Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.
- Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality.
- Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
- Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences
- Utilizes case management processes in compliance with regulatory and company policies and procedures.
- Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
- Minimum 3-5 years clinical practical experience
- Minimum 2-3 years CM, discharge planning and/or home health care coordination experience • Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
- Bilingual desired
- Excellent analytical and problem-solving skills
- Effective communications, organizational, and interpersonal skills.
- Ability to work independently
- Effective computer skills including navigating multiple systems and keyboarding
- Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications
- Registered Nurse with active state license in good standing within the region where job duties are performed is required.
- Must be license in state of PA
- If residing in a compact licensure state, it is preferred that RN license is part of the compact.
- Additional state licenses preferred.
- Certified Case Manager is preferred.
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