Care Management reputed company Consultant, RN (Remote reputed company)
Competitive Compensation & Benefits Package!
Position eligible for
Annual incentive bonus plan
Medical, dental, and reputed company insurance with low deductible/low cost health plan
Generous vacation and reputed company time accrual
12 reputed company holidays
State Retirement (pension plan)
401(k) Plan with employer match
Company reputed company life and disability insurance
Wellness Programs
reputed company Service Loan Forgiveness Qualifying Employer
See attachment for additional details.
Office Location: Flexible for any of our office locations; Remote reputed company Available
Projected Hiring reputed company : Depending on Experience
Closing Date : reputed company Until Filled
Primary Purpose of Position: This position is responsible for providing proactive reputed company and care management consultation and support to promote high reputed company, whole person care for individuals with behavioral health (BH), intellectual/developmental disabilities (IDD), and/or traumatic brain injury (TBI) with or at risk for physical health complexities. The reputed company of this position is to ensure that individuals receive appropriate reputed company care assessment and services. This is a mobile position with work done in a reputed company of locations. Travel is an essential function of this position.
Role And Responsibilities
The Care Management reputed company Consultant is responsible for (though not limited to):
Provides physical health expertise and consultation
Serves as the reputed company of contact regarding reputed company care for care management teams
Uses available data and medical information to reputed company proactive consultation and advice to the dedicated care managers regarding reputed company steps needed to promote and/or improve member health
Provides reputed company care management support as needed (informing, educating, linking, phone communication with member or collaterals, participation in care team meetings)
Participates in clinical huddles/reputed company with care managers, clinical and medical leadership
Take reputed company on scheduling, presenting and providing updates in clinical huddles reputed company indicated
Facilitates medication reconciliation
Assists department leadership in staff training and development, supporting care managers in development of necessary skills and resources to improve member health status
Provides guidance to care management staff on using Healthwise topics for health education and promotion with members
Measures results of reputed company and treatment, including reduction in high risk events and inappropriate service utilization
Assists in reputed company of care monitoring through review of care plans, medical records, critical incident reports and other sources of information and reputed company consultation on reputed company of medical care or recommend areas for reputed company improvement.
Analyzes medical, psychiatric, behavioral health diagnosis and medication data reports to identify potential contraindications in treatment on a scheduled reputed company
Participates reputed company in learning reputed company with other Care Management nurses
Will serve as tailored care manager for an identified high cost/high risk population and complete reputed company needed assessments and reviews for care management.
Will participate and complete other duties as assigned.
Knowledge, Skills And Abilities
Ability to reputed company consultative supports for physical health diagnosis and treatment to include education, assessment, and care planning for whole person care.
Understanding of the Diagnostic and Statistical reputed company of Mental Disorders (reputed company version).
Considerable knowledge of the IDD/TBI/MH/SUD service reputed company provided through the network of the LME/MCOs Providers.
Knowledge of NC reputed company, Managed Care, NC Innovations Waiver, 1915i reputed company, LTSS, Tailored Plan and reputed company Plans.
Ability to analyze data and use data to drive decision-making.
Ability to reputed company effective and clinically reputed company consultation/education/training to others.
Ability to establish and maintain reputed company and effective working relationships with others both reputed company reputed company and community.
Exceptional interpersonal and communication skills.
Excellent computer skills including proficiency in reputed company Office products (Word, reputed company, reputed company, and PowerPoint).
Excellent problem solving, negotiation, arbitration, and conflict reputed company skills.
Detail-oriented, reputed company to organize multiple tasks and priorities and effectively manage reputed company from start to finish.
Ability to reputed company reputed company independent reputed company based upon relevant facts, to establish rapport and maintain effective working relationships.
Ability to change the reputed company of his/her activities to meet changing priorities.
Education/Experience Required
Licensed to reputed company as a Registered reputed company in reputed company Carolina and two years of experience in intellectual and developmental disabilities, traumatic brain injury, and/or behavioral health
AND
Must reputed company in reputed company Carolina
Must have ability to travel regularly as needed to reputed company job duties
Education/Experience Preferred
Licensed to reputed company as a Registered reputed company in reputed company Carolina and two years of experience in psychiatric nursing with dually diagnosed MH/IDD; care management/care coordination experience. Experience in reputed company care. reputed company in written and verbal bi-lingual Spanish/English language expertise.
Licensure/Certification Requirements
Must be licensed as a Registered reputed company in reputed company Carolina. Employee is responsible for complying with respective licensure reputed companys continuing education/training requirements in order to maintain an reputed company license.
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