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Care Manager I (RN)

Jacksonville, FL, United States

Care Manager I (RN)

03 months

Compact License

Remote 100%

Licenses/Certifications:

Current state's RN license.

Remote, compact state needed with NY licensure.

Position Purpose:

Perform care management duties to assess, plan, and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost-effective care

* Develop, assess, and adjust, as necessary, the care plan and promote the desired outcome

* Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long-term goals, treatment and provider options

* Coordinate services between Primary Care Physicians (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients

* Develop a plan of care based upon assessment with specific objectives, goals, and interventions designed to meet member's needs

* Provide patient and provider education

* Facilitate member access to community-based services

* Monitor referrals made to community-based organizations, medical care, and other services to support the members' overall care management plan

* Actively participate in integrated team care management rounds

* Identify related risk management quality concerns and report these scenarios to the appropriate resources

* Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems

Education/Experience:

Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred.

2+ years of pediatric clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.

Knowledge of healthcare and managed care preferred. Prior experience working in a remote role is preferred.

Prior case management experience is preferred. Bilingual in Spanish and English is preferred.

Licenses/Certifications:

Current state's RN license.

Remote, compact state needed with NY licensure.

Required Skills/Experience:

Preferred Skills/ Experience:

1.

Registered Nurse, 5 plus years of clinical RN experience

1.

Medicare Case management experience

2.

Compact License

2.

CCM certification preferred

*Pediatrics - birth to 21

*Work-from-home case management role

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Care Manager I (RN) jobs in Jacksonville, FL, United States

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