Registered Nurse (RN) Field Case Manager

We are aggressively seeking a Registered Nurse (RN) Field Case Manager to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours, a competitive salary, and be a Registered Nurse (RN) Field Case Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require a Registered Nurse (RN) Field Case Manager who can provide a high level of service and attention to their patients. If you are a seasoned Registered Nurse (RN) Field Case Manager and you meet the qualifications listed below, please click apply below for consideration!

Daily Responsibilities

• Evaluates members for case management services and determines appropriate level of care coordination/ management services for member
• Completes a comprehensive assessment and develops a care plan utilizing clinical expertise to evaluate the members need for alternative services
• Acts as a primary case manager for members identified as Complex as defined by Case Management Program Description
• Develops and monitors members plan of care to include progress toward meeting established goals and self-management activities
• Interacts continuously with member family physician(s) and other providers utilizing clinical knowledge and expertise to determine medical history and current status.
• Assess the options for care including use of benefits and community resources to update the care plan
• Supervises and/or acts as a resource for non-clinical staff (i.e. Service Coordinators and Field Social Workers
• Act as liaison and member advocate between the member/family physician and facilities/agencies
• Maintains accurate records of case management activities in the Enterprise Medical Management Automation (EMMA) System using clinical guidelines
• Coordinates community resources with emphasis on medical behavioral and social services.
• Applies case management standards maintains HIPAA standards and confidentiality of protected health information and reports critical incidents and information regarding quality of care issues
• Ensures compliance with all state and federal regulations as well as Corporate guidelines in day-to-day activities
• Meets with clients in their homes work-sites physician’s or hospital to provide management of services
• Adapts to changes in policies procedures new techniques and additional responsibilities
• Participates with other Case Managers and Medical Directors in regular or special meetings such as Clinical rounds
• Travel to inpatient bedside, member’s home, provider’s office, hospitals, etc in Bronx, NY required with dependable car. May spend up to 70% of time traveling with exposure to inclement weather and normal road hazards.

Hours for this Position

Monday - Friday daytime hours flexible

Requirements

• RN license Required
• 1+ year of experience in current case management
• Other Managed care experience Preferred
• Prior utilization management experience preferred in some geographic regions
• Experience in care of the elderly is required in some geographic regions
• Experience in home health physician’s office or public health

If you are interested, please call, Courtney Phelps at 407-636-7030 x 232 and email your resume to cphelps@ healthcaresupport.com

The greatest compliment to our business is a referral.

If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.