Senior Manager implementing learning solutions and programs that facilitate agent engagement and production. Leading strategy and team efforts within American Family Insurance's agency business.
About the role
- Nurse Care Manager providing care coordination, assessment, and advocacy for members' health needs. Ensuring quality outcomes while collaborating with healthcare teams and families.
Responsibilities
- The Nurse Care Manager is responsible for providing 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
- Works with member/family to maintain the most independent living situation possible
- Regularly assesses members for ongoing eligibility for services
- 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
- Documents care management/coordination according to company policy
Requirements
- Associates degree in Nursing from an accredited nursing program 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
- Ability to communicate effectively with a diverse group of individuals
- Strong understanding and sensitivity of all cultures and demographic diversity
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Bonuses
- Comprehensive total rewards package
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