Early Careers Manager at N Family Club leading high - quality Early Careers programmes and managing apprenticeships. Focus on compliance, stakeholder management, and programme quality.
About the role
- Integrated Nurse Case Manager/RN providing case management and clinical assessments for member needs. Focusing on optimizing member health care and coordinating multidisciplinary treatment plans.
Responsibilities
- Responsible for case management services within the scope of licensure
- Develops, monitors, evaluates, and revises the member's care plan to meet the member's needs
- Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs
- Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team
- Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits
- Assists with the implementation of member care plans by facilitating authorizations/referrals
- Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans
- Presents cases at case conferences for multidisciplinary focus
- Ensures compliance with regulatory, accrediting and company policies and procedures
Requirements
- Registered Nurse (RN) License (Compact or Virginia) REQUIRED
- Associate or Bachelors Degree in Nursing REQUIRED
- 3 years experience in Nursing REQUIRED
- Case Management experience preferred
- Discharge planning experience preferred
- Managed Care or Health Plan experience preferred
Benefits
- Medical, Dental, Vision plans
- Adoption, Fertility and Surrogacy Reimbursement up to $10,000
- Paid Time Off and Sick Leave
- Paid Parental & Family Caregiver Leave
- Emergency Backup Care
- Long-Term, Short-Term Disability, and Critical Illness plans
- Life Insurance
- 401k/403B with Employer Match
- Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
- Student Debt Pay Down – $10,000
- Reimbursement for certifications and free access to complete CEUs and professional development
- Pet Insurance
- Legal Resources Plan
- Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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