Location
Dayton, OH | United States
Job description
Job Title: Care Manager II (RN)
Location: Dayton, OH (Remote role)
Duration: 3 months
Shift: Mon-Fri 8:00AM- 5:00PM EST
Note:
- The employees will be mostly remote but have some member visit requirements.
Job Description:
Summary:
- Manage a caseload and complete face to face visits to members periodically.
Job Responsibilities:
- 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.
- Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes.
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio-economic needs of clients.
- Provide patient and provider education.
- Facilitate members' 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.
- Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience.
- Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.
- Direct care to participating network providers.
- Perform duties independently, demonstrating advanced understanding of complex care management principles.
- Participate in case management committees and work on special projects related to case management as needed.
Minimum Qualification:
Preferred skills:
- Basic Microsoft office experience.
Job tags
Salary
