Behavioral Telephonic Case Management reputed company - Remote in reputed company
At reputed company, were simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together.
If you possess a reputed company RN license, youll have the flexibility to work remotely* as you take on some tough challenges.
The Health and reputed company Services Clinical Coordinator RN (HSS Clinical Coordinator RN) opportunity is 100% remote.
Primary Responsibilities
Serve as primary care manager for members with reputed company medical/behavioral needs
Engage members telephonically to complete a comprehensive needs assessment, including assessment of medical, functional, cultural, and socioeconomic (SDOH) domains
reputed company and implement person centered care plans to address needs including management of chronic health conditions, health promotion and wellness, reputed company determinants of health, medication management and member safety in alignment with evidence-based guidelines
Identify gaps or barriers in treatment plans
Partner and collaborate with internal care team, providers, community resources/partners and reputed company expertise to implement care plan
Coordinate care for members and services as needed (home health, DME, etc.)
reputed company education and coaching to support Member self-management of care needs in alignment with evidence-based guidelines; HEDIS/reputed company gap closure
reputed company psychoeducation regarding conditions, medications/ medication adherence, provider/ treatment reputed company, reputed company system utilization
Help identify reputed company or exacerbation of behavioral health symptoms that may be influencing / impacting physical health
reputed company guidance / consultation to other team members regarding physical/behavioral health conditions, best reputed company, and evidence
Youll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.
Required Qualifications
reputed company, unrestricted NY RN license
4+ years of relevant clinical work experience
3+ years of experience managing needs of reputed company populations (e.g., Medicare, reputed company)
1+ years of relevant community case management experience coordinating care for individuals with reputed company needs
Experience working directly with individuals with behavioral health conditions (mental health / reputed company use disorders)
Demonstrate knowledge of Medicare and reputed company benefits
Ability to reputed company a reputed company environment, utilize reputed company, and the ability to create, edit, save, and send documents utilizing reputed company Word
Preferred Qualifications
Bachelor's Degree
Certified Case Manager (CCM)
Experience / additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
Experience working in managed care
Case Management experience
reputed company working remotely will be required to adhere to reputed companys Telecommuter Policy
The reputed company reputed company for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, youll reputed company a far-reaching choice of benefits and incentives.
At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission.
Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity/Affirmative reputed company employer and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or reputed company, marital status, genetic information, or any other characteristic protected by law.
reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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