Operations technology and services manager leading IT strategy at Obramat. Overseeing cloud, networking, service desk, and infrastructure optimization in a hybrid work environment.
About the role
- Care Manager, Registered Nurse responsible for assessing and planning patient care for dually eligible populations in Camden County. Collaborating with members and stakeholders to address healthcare needs and support wellness.
Responsibilities
- Help us elevate our patient care to a whole new level!
- Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models.
- You can have a life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges.
- With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs.
- Our Integrated Care Management (ICM) Care Managers are frontline advocates for members who cannot advocate for themselves.
- They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness.
- The ICM care manager develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness.
- Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits.
- Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning.
- Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality.
- Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members.
- Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences
- Utilizes case management processes in compliance with regulatory and company policies and procedures.
- Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation.
Requirements
- Candidate must reside close to or within Camden County, New Jersey
- Candidate must have an active and unrestricted Registered Nurse (RN) license in New Jersey
- Candidate must be willing and able to travel 25-50% of their time using your own vehicle to meet members face to face in their assigned area (Reliable transportation required. Mileage is reimbursed per our company expense reimbursement policy. CVS Health encourages it’s nurses to meet with members in a public place if they feel that is more appropriate. If needed, security escort is also available.)
- 3+ years of clinical practice experience
- Certified Case Manager
- 2+ years care management, discharge planning and/or home health care coordination experience
- Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually
- Excellent analytical and problem-solving skills
- Effective communications, organizational, and interpersonal skills
- Ability to work independently
- Effective computer skills including navigating multiple systems and keyboarding
- Demonstrates proficiency with standard corporate software applications, including MS Word, Excel, Outlook, and PowerPoint, as well as some special proprietary applications
- Bilingual
- Associate's Degree in Nursing (REQUIRED)
- Bachelor's Degree in Nursing (PREFERRED)
Benefits
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
- Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
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