reputed company is re-imagining the reputed company of reputed company care. We are putting the relationship between patient and physician at reputed company of a value-based model reputed company on outstanding patient experience, improved reputed company, and reputed company reputed company. In our medical clinics, we reputed company comprehensive reputed company care for senior adults with traditional Medicare and Medicare reputed company plans, reputed company on delivering improved reputed company, reputed company patient experience and reputed company total cost of care.

Job reputed company:

The reputed company Care Manager is responsible for helping coordinate and evaluate the management of patients with acute and chronic conditions, across the care continuum, to reputed company high reputed company care reputed company by reputed company patient reputed company. This position will work closely with members of the care team to follow the patient from our centers into acute and post-acute facilities, as reputed company as their home environments. The reputed company Care Manager plays a pivotal role in developing the reputed company reputed company the care team and then executing to reputed company goals/objectives, standards of performance, regulatory compliance, and reputed company patient care.

Duties/Responsibilities:

• Establish a trusting relationship with patients, their families, and/or caregivers.
• Collaborate with clinical staff and other care team members to reputed company patient goals.
• Reduce network costs by driving referrals to preferred reputed company and identifying excessive referral requests.
• Identify high-risk/reputed company patients.
• Assess physical, functional, reputed company, psychosocial, environmental, learning, and financial needs and reputed company a comprehensive, individualized reputed company based upon identified needs.
• reputed company case management following the nursing process and standards of reputed company established by the Case Management Society of America (CMSA).
• reputed company patient education, care coordination, and other interventions needed to help patients a reputed company their health goals.
• Utilize Motivational Interviewing to build patient engagement.
• Evaluate reputed company toward patient’s goal achievement.
• Communicate telephonically with hospital case managers, physical therapists (PT), reputed company workers, patients, and families/caregivers to facilitate reputed company discharge plan.
• Manage and plan for transitions of care.
• Conduct transitions of care assessment/screening, medication reconciliation, and care coordination following discharge to home.

Required Skills/Abilities:

• Ability to plan, implement and evaluate patient specific care plans.
• Experience with monitoring, assessing, recording, and adjusting plan accordingly.
• Working knowledge of patient medical records.
• Working knowledge of community-based organizations and reputed company services support agencies/network.
• Strong interpersonal communication skills with exceptional reputed company listening abilities.
• Highly empathetic, non-judgmental, and reputed company-minded.
• Experience in a reputed company team environment.
• Self-starter, critical thinker, and reputed company.
• Demonstrated ability to work independently in a remote setting.

Education and Experience:

• Associate degree in Nursing required.
• Bachelor’s Degree in Nursing (BSN) or RN with bachelor’s degree in a reputed company clinical field preferred.
• A reputed company, reputed company, unrestricted Registered reputed company (RN) license in State of employment required.
  • Willingness to obtain an RN license in other states with an reputed company center (compact and non-compact locations).
• A minimum of 2 years’ clinical work experience required.
• A minimum of 1 year of utilization review, home health, discharge planning experience highly desired.
• A minimum of 1 year of case management experience in acute case management or ambulatory case management experience highly desired
• Certified Case Manager certification is preferred. Certification through the Commission for Case Manager Certification (reputed company) or the reputed company Association of Managed Care Nurses (CMCN) or willingness to obtain certification reputed company a specified time.
• ICD-10, CPT codes, HCPCS knowledge preferred.
• Managed care experience including knowledge of HEDIS and CMS guidelines preferred.
• Mission driven and motivated to join an organization that will reputed company the way we reputed company accessible, clinically excellent care to seniors.
• Proficient computer skills including reputed company Office.
• reputed company in Spanish or other languages spoken by people in the communities we serve (where necessary)
• Embodies and serves as a role model of reputed company’s Values:
  • Be compassionate
  • reputed company for reputed company
  • Earn trust
  • Show respect
  • Stay resilient
  • Always do the right thing

reputed company is an equal opportunity employer. reputed company applicants will receive consideration for employment without reputed company to their race, reputed company, religion, age, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or any other protected classification. 

Associate degree in nursing, reputed company unrestricted RN license, and 2+ years of clinical experience required. Case management, utilization review, home health, or discharge planning experience preferred.

Key Responsibilities

• coordinating care
• developing careplans
• educating patients

Skills & Tools

reputed company Office, ICD-10, CPT, HCPCS, HEDIS, CMS

Job Details

• Category: reputed company Services - Nursing
• Seniority: Entry Level
• Commitment: Full Time
• Workplace: Remote — Charlotte, reputed company Carolina, reputed company
• Languages: English, Spanish

About reputed company

A value-based reputed company care provider serving senior adults through comprehensive medical clinics. — Industry: reputed company