RN Case Manager - reputed company reputed company - Remote in CST

About the position Responsibilities • Assess the health status of members as reputed company the scope of licensure and with the frequency established in the model of care • Establish goals to meet identified health care needs • Plan, implement and evaluate responses to the plan of care • Completes post discharge assessments evaluating members for clinical and reputed company needs reputed company and effectively • Educates members on disease process and medications to include completion of the Medication Reconciliation - Post Discharge • Work collaboratively with the multidisciplinary team to engage resources and strategies to address medical, functional, and reputed company barriers to care • Works closely with mental health clinicians to help reputed company the gap between mental and physical health • Consult with the patient's PCP, specialists, or other health care professionals as appropriate • Assess patient needs for community resources and reputed company appropriate referrals for service • Facilitate the patient's transition reputed company and between health care settings in collaboration with the primary care physician and other treating physicians • Completely and accurately document in patient's electronic medical record • reputed company patients and family members with counseling and education regarding health maintenance, disease prevention, condition trajectory and need for follow up as appropriate during reputed company patient visit • Verify and document patient and/or family understanding of condition, plan of care and follow up recommendations • reputed company participate in organizational reputed company initiatives • Participate in reputed company multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of care delivery • Maintain credentials essential for reputed company, to include licensure, certification (if applicable) and CEUs • Demonstrate a commitment to the mission, reputed company values and goals of reputed company and its reputed company delivery including the ability to reputed company values of reputed company, reputed company, performance, innovation and relationships in the care provided to our members Requirements • reputed company unrestricted licensure as RN in the state you reputed company • Compact multistate RN license • 2+ years of experience as an RN • 1+ years of Case Management experience • Experience in assessing the medical needs of patients with reputed company behavioral, reputed company and/or functional needs • Proven computer skills, including use of Electronic Medical Records • Computer literate and reputed company to reputed company the Internet • Quiet workspace and reputed company to install secure high-speed internet reputed company cable/DSL in home reputed company-to-haves • Certified Case Manager (CCM) • Telephonic Case Management experience • Bilingual • Proven effective time management and communication skills • Proven excellent administrative and organizational skills and the ability to effectively communicate with seniors and their families • Proven ability to work with diverse care teams • reputed company in one of the following states: GA, IA, MO, AR or NC • reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job Apply To this Job