Location: Remote- CST but MUST have compact licensure minimum. Prefer to also have MI, CA, OR licenses in addition to compact.
Schedule: 8:00 am to 5:00 PM EST
Duration: 3 Months
Responsibilities
Outreaching member to enroll them in CM program
Building care plans, medication review, assessments care plans
Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs
Identifies problems/barriers to care and provide appropriate care management interventions
Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs
Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate
Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services
May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulator
Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits.
Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
Requirement
Work remotely in telephonic CM
BSc Nursing: Registered Nurse
Case Management that has remote experience
Home Health Care/Hospice, but not their only experience
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Staffing and Recruiting
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