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HOURS: Monday through Friday from 9:00am to 5:30pm
NOTES ON TRAINING: This project is supporting the SNP program for the MCO. The Training program will last for 3-4 weeks. It is primarily computer based and the candidate will need to be available for said training
Description: *
The Care Manager, Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
Responsibilities
The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member’s physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures.
Job Overview
This SNP group is part of a major Managed Care organization that is dedicated to helping adults remain independent in their homes. Our nurses are titled Care Managers, because our case management services are centered on the person rather than the condition. We contact members with multiple chronic conditions as well as financial and functional barriers in order to assist them in achieving and maintaining optimum health. We provide telephonic outreach to assess and support their health, offering education, identifying resources, and helping remove barriers to achieving health and independence, while using a multidisciplinary team. All of our RN Care Managers are work at home associates, working from a dedicated home office space. Work at home care managers are responsible for meeting quality and productivity measures daily and maintaining working home internet at all time with demonstrated advanced communication and interpersonal skills.
- Telephonically assess Medicare, Medicaid, Commercial, and/or and Group Account members in seven domains of functioning
- Evaluate member needs and requirements to achieve and/or maintain optimal wellness state
- Guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
- Assess member’s physical, environmental and psycho-social health issues and work in collaboration with a multi-disciplinary team, employing a variety of strategies/techniques to manage appropriately and provide timely intervention
Required Qualifications
- Active Registered Nurse (R.N.) license with no disciplinary action.
- Seasoned professional nurse with a minimum of three years of clinical nursing experience.
Desired Qualifications
- Demonstrated clinical knowledge and experience with adult chronic conditions
- Advanced computer skills and experience with Microsoft word and excel
Ideal candidates will have compact licensure or are licensed in the states listed below. The states listed below are in order of priority, with Florida being the highest.
- Florida
- Louisiana
- Indiana
- North Carolina
- Georgia
- Alabama
- Texas
- Ohio
- South Carolina
- California
- Illinois
- Tennessee
- New York
- Missouri
- Mississippi
- Washington
- Pennsylvania
- Kentucky
- Maine
- Virginia
- Montana
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Job Type: Full-time
Salary: $34.75 to $40.50 /hour
Experience:
- Complex Care: 2 years (Required)
- case management: 3 years (Required)
- Managed Care: 2 years (Preferred)
License:
- Registered Nurse (RN) (Required)
Benefits offered:
- Health insurance
- Dental insurance
- Healthcare spending or reimbursement accounts such as HSAs or FSAs
- Other types of insurance
- Retirement benefits or accounts
- Workplace perks such as food/coffee and flexible work schedules
- Others