Job Title: Registered Nurse Case Manager - Hiring FAST!
Locations: Colorado | Georgia | Indiana | Kentucky | Massachusetts | Minnesota | Mississippi | Ohio | Pennsylvania | Virginia | Washington State | Iowa
Pay Rate: W2 Rates Only - NO C2C
Setting: REMOTE (must live in a required state listed above)
Duration: 13+ months.

Required Qualifications:

* 100% remote - must reside in a state that is part of the Nurse Compact (multi-state-licensure)*.
* MUST have experience in ER, Post acute care, ICU, MED SURG, etc.
* Nursing Diploma or Associates degree in nursing required.
* Bachelor's degree in nursing strongly preferred.
* 3 years of clinical nursing experience in a clinical, acute/post-acute care, and community setting required.
* 1 year of case management experience in a managed care setting strongly preferred.
* Experience managing patients telephonically and via digital channels (mobile applications and messaging) preferred

Responsibilities:

* Lead the coordination of a regionally aligned, multidisciplinary team to provide holistic care to meet member needs telephonic and/or digitally. The multidisciplinary team is inclusive of Medical and Behavioral Health Social Workers, Registered Dietitians, Pharmacists, Clinical Support Staff and Medical Directors.
* Use the case management process to assess, develop, implement, monitor, and evaluate care plans designed to optimize the members' health across the care continuum.
* Assess the member's health, psychosocial needs, cultural preferences, and support systems.
* Engage the member and/or caregiver to develop an individualized plan of care, address barriers, identify gaps in care, and promotes improved overall health outcomes.
* Arrange resources necessary to meet identified needs (e.g., community resources, mental health services, substance abuse services, financial support services and disease-specific services).
* Coordinate care delivery and support among member support systems, including providers, community-based agencies, and family.
* Advocate for members and promote self-advocacy.
* Deliver education to include health literacy, self-management skills, medication plans, and nutrition.
* Monitor and evaluate effectiveness of the care management plan, assess adherence to care plan to ensure progress to goals and adjust and reevaluate as necessary.
* Accurately document interactions that support management of the member.
* Prepare the member and/or caregiver for discharge from a facility to home or for transfer to another healthcare facility to support continuity of care.
* Educate the member and/or caregiver about post-transition care and needed follow-up, summarizing what happened during an episode of care.
* Secure durable medical equipment and transportation services and communicate this to the member and/or caregiver and to key individuals at the receiving facility or home care agency.
* Adhere to professional standards as outlined by protocols, rules and guidelines meeting quality and production goals.
* Continue professional development by completing relevant continuing education and maintaining Certified Case Manager (CCM)
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