Integrated Nurse Case Manager managing community health in Petersburg, Dinwiddie, and Chester. Responsible for case management services and collaborating with health care teams.
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
Associates or Bachelors Degree in Nursing (Required)
Virginia or Compact RN License (Required)
3 years experience in Nursing (Required)
Experience in Private Duty Nursing or NICU or Experience working with Ventilators (Required)
Discharge planning experience (Preferred)
Managed Care 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
Nurse Case Manager, Central Region – Community Visits
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