Manager of Product Management leading Front - End Hub product team at McKesson. Focusing on strategy and execution for patient support programs and HCP experience.
About the role
- Registered Nurse Care Manager providing in-home assessments and care coordination for members. Collaborating with healthcare teams to develop patient plans and ensure quality outcomes.
Responsibilities
- Provides care coordination, including in-home assessment, planning, facilitation, advocacy, and authorization of covered plan services
- Ensures consistent care along the entire health care continuum by assessing and closely monitoring members’ needs and status
- Authorizes covered services and coordinates care regardless of payer
- Collaborates and communicates with member/family/caregivers, primary care practitioners, and the interdisciplinary team
- Performs home visits as required to assess members’ living situation, cultural influences, functional and cognitive needs
- Collaborates with the primary care physician and Inter-Disciplinary Team (IDT) to develop the Patient Centered Service Plan for the member
- Ensures appropriate, safe plan for members’ discharge from their plan
- Identifies same day grievances, investigates and documents accordingly
- Identifies members requiring Care Management Review (CMR) and evaluates documentation provided by the IDT
- Develops efficient plans of care, authorizing only needed services at the most appropriate levels
Requirements
- Associates degree in Nursing required
- Bachelor's degree in Nursing preferred
- Three (3) years of experience as a registered nurse required
- Clinical experience in geriatrics and/or managed long-term care experience preferred
- Experience using multiple languages may be required based on operational needs
- Intermediate proficiency level with Microsoft Office, including Outlook, Word and Excel
- Knowledge of local, state & federal healthcare laws and regulations & all company policies regarding case management practices
- Knowledge of and adherence to Case Management Society of America (CMSA) standards for case management practice
- Bilingual speaking and writing skills are preferred.
Benefits
- Comprehensive total rewards package
- Bonus tied to company and individual performance
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