Hybrid Registered Nurse, Clinical Care Manager

Posted 5 hours ago

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About the role

  • Registered Nurse managing clinical care for dual-eligible enrollees in the community. Focusing on integrating health services and community resources for better health outcomes.

Responsibilities

  • Provide monitoring, follow-up, and clinical care management to dually-eligible enrollees
  • Engage with the enrollee in their homes and other community settings
  • Function as a liaison between healthcare providers, community resources, and enrollees
  • Perform required assessments on a timely basis
  • Lead the interdisciplinary care team and collaborate to create holistic care plans
  • Oversee enrollee utilization of long-term services and supports
  • Assist members in accessing community resources
  • Educate members about their benefits under Medicare and Medicaid
  • Follow up with members after hospitalizations to ensure continuity of care

Requirements

  • Associates of Science (A.S) degree in nursing or Master's degree in social work/mental health counseling and independent license required
  • Three (3) years of experience as a Registered Nurse/BH Clinician or one (1) year as Registered Nurse/BH Clinician with two (2) years of experience in related fields
  • Prior experience in care coordination, case management, or working with dual-eligible populations preferred
  • Medicaid and/or Medicare managed care experience preferred
  • Intermediate proficiency level with Microsoft Office, including Outlook, Word, and Excel
  • Understanding of Medicare and Medicaid programs, and community resources for dual-eligible beneficiaries

Benefits

  • Influenza vaccination is a requirement of this position
  • Comprehensive total rewards package
  • Reasonable accommodations to qualified individuals with disabilities

Job title

Registered Nurse, Clinical Care Manager

Job type

Experience level

Mid levelSenior

Salary

$90,000 - $120,000 per year

Degree requirement

Associate's Degree

Location requirements

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