REMOTE RN Case Manager Hiring Now!Largest national Medicaid Managed Care Organization is looking for a REMOTE RN Case Manager to join their growing team! Opportunity to make an impact with an industry leader in a fast-paced environment! Job DescriptionWe are seeking a dedicated Case Manager to perform care management duties, including assessing, planning, and coordinating all aspects of medical and supporting services across the continuum of care for select members. The goal is to promote quality, cost-effective care.Requirements
CA RN license
Case Management experience
Medicare or Medical experience
Ability to work Monday-Friday, 8am-5pm PST
Position will start on a 2-3 month contract with potential for permanent hire or extension based on performance
What's in it for you!
Gain experience with a national leader in managed care and Medicaid
Work in a fast-paced environment, handling 75 active cases at once
100% REMOTE POSITION
Support pediatrics OR psych/behavioral health
Responsibilities
Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long-term goals, and 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 and socio-economic needs of clients.
Develop a plan of care based upon assessment with specific objectives, goals, and interventions designed to meet the member's needs.
Facilitate member access to community-based services.
Monitor referrals made to community-based organizations, medical care, and other services to support the member's overall care management plan.
Actively participate in integrated team care management rounds.
Identify related risk management and quality concerns and report these scenarios to the appropriate resources.
Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.
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The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com (%20actalentaccommodation@actalentservices.com) for other accommodation options.
