RN Case Manager/ RN Care Manager

Job Description

We are aggressively seeking a RN Case Manager/ RN Care Manager to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours, a competitive salary, and be a RN Case Manager/ RN Care Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require a RN Case Manager/ RN Care Manager who can provide a high level of detail. If you are a seasoned RN Case Manager/ RN Care Manager and you meet the qualifications listed below, please click apply below for consideration!

Daily Responsibilities: 

• True case management, interacting with patients and managing their clinical care
• Will be focused on patients in acute and post acute stages of care
• Will be involved with discharge planning, so that will be important experience to have

Essential Function:

Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care

• Develop, assess and adjust, as necessary, the care plan and promote desired outcome
• 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
• 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
• Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
• Provide patient and provider education
• Facilitate member access to community based services
• 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
• Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems

Hours for this Position:

Monday - Friday Daytime Hours

Qualifications

Requirements:

• RN license & associate’s degree in Nursing
• Must have discharge planning experience – not flexible on this
• Must have inpatient hospital experience (MED-SURG is ideal) – at least about 2 years
• Computer skills! Must be comfortable & able to learn computer systems.

Preferred but not Required:

• Interqual or Milliman experience
• Utilization review experience
• Case management experience highly preferred!

 Advantages of this Opportunity:

• Competitive salary, negotiable based on relevant experience
• Health insurance
• Dental insurance
• Vision insurance
• Flexible spending accounts (includes health care, dependent care mass transit reimbursement)
• Short- and long-term disability insurance
• Basic Life insurance
• Supplemental AD&D
• Supplemental life insurance
• Wellness Program
• 401(k) retirement with company match
• Employee stock purchase plan
• Vacation, Personal and Sick time
• Paid Company Holidays
• Employee Assistance Program (EAP)
• Training and Learning Opportunities
• Tuition Reimbursement/Educational Assistance
• Service Awards
• On-site fitness center or discount at local fitness centers (most locations)
• Discounts for select local and national products and services, including cell phones, computers and more
• Other amenities may be available, but vary by location
• Fun and positive work environment

Additional Information

Interested in being considered?

If you are interested in being considered for the position, please contact Courtney Phelps at 407-478-0332 ext 232.

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!