LPN or RN Nurse Case Manager (Onsite at Providers Office)Philadelphia, PA

About the position Responsibilities • Identifies gaps in needed quality metrics for customers and communicates to provider. • Maintains physical presence in participating provider practices. • Identifies high-risk/high-cost patients for case management intervention. • Interfaces with providers of medical services and equipment to facilitate effective communication, referrals, development of discharge planning, and alternative treatment plan development. • Identifies customer needs, coordinates and supports planned and unplanned transitions and post discharge follow up calls which may include primary care physician and specialist appointment scheduling. • Collaborates with the attending physician to achieve identified patient outcomes. • Attend and participate in weekly Complete Health Team rounds -market dependent. • Perform telephonic outreach. • Communicates with all departments to resolve issues or document trends. • Understands and follows administrative guidelines (policy and procedure) of the unit. • Attends and actively participates in staff meetings. • Other Duties as assigned. Requirements • Current Licensure as a registered nurse in the state of residence in good standing. • Associates degree, diploma, or B.S. in Nursing. • Three to Five (3-5) years recent experience in an acute-care environment, case-management, or utilization management position (experience can be a combination of LVN/RN licensure). • Previous HEDIS and/or CMS STARs experience a plus. Nice-to-haves • Bilingual - preferred Spanish both conversational and written. Benefits • Medical, vision, and dental insurance coverage. • Well-being and behavioral health programs. • 401(k) with company match. • Company paid life insurance. • Tuition reimbursement. • A minimum of 18 days of paid time off per year and paid holidays. Apply tot his job Apply To this Job