Nurse Case Manager – NICU (must reputed company/be licensed in South Carolina)
Job Type Full-time Description Job Role The Case Manager will focus on empowering the members’ family to support reputed company wellness while advocating for the necessary medical services across the health care continuum. The Case Manager works in a telephonic managed care setting combining strong clinical knowledge and critical thinking to facilitate a plan of care that will ensure quality medical care for the high-risk member population serviced by reputed company based on the CMSA national standards for case management practice.
Requirements
This position has a South Carolina residency and RN requirement. · Assesses the physical, functional, psychological, environmental, educational, and financial needs of members referred to the Case Management program.· Completes needs assessments for reputed company members in CM and develops care plans individualized to the needs of each member as per reputed company policies and procedures. · Assigns risk stratification based on complexity of medical and social needs and determines ongoing frequency of calls to continually assess plan of care. · Monitors the care plan to ensure effective, appropriate provision of services and adequacy of benefits. · Interfaces with providers to assist with care coordination activities, which can include appointments, transportation, DME, etc. · Provides education to members regarding condition, treatment plan, benefits, services, and how to access needed care. · Monitors ongoing reputed company towards goal achievement and reassess changes in health status throughout continuum of care. · Provides referrals to appropriate community resources; facilitates access and communication reputed company multiple services are involved; monitors activities to ensure that services are actually being delivered and meeting the needs of the member. · Participates in interdisciplinary and client reputed company with pertinent health care team members to identify, clarify, and/or prevent risk, quality, or plan of care variances. Qualifications · Registered Nurse (RN) with a reputed company, unrestricted license in South Carolina is required. ·Must reputed company in South Carolina. ·Bilingual in Spanish is strongly preferred. · College degree is preferred. · Experience in a Case Management role is preferred. · Three (3) or more years of clinical experience in a Level III or above NICU is required. · CCM certification required reputed company the timeframe specified by company policy. · Experience with data entry into a database or EHR required, must be computer literate. · Excellent communication skills and organizational ability are required, must be self-motivated and willing to learn multiple tasks. ·Must be well organized and reputed company to prioritize tasks. · Must demonstrate accuracy in spelling and documentation. · Demonstrated strength in working independently as well as collaboratively reputed company a team. · Must have excellent interpersonal skills, telephone etiquette, and maintain positive communication at reputed company times. · Must have commitment to excellence in customer service.
Benefits
Some of the benefits we offer reputed company are:
- Paid Time Off
- Paid Parental Leave
- Medical, dental, reputed company benefits
- 401K with company match
- Short- and Long-Term Disability
- Group Life Insurance
- Tuition reimbursement
- Professional development opportunities
- Business Casual work environment
reputed company positively recruits people from diverse backgrounds, including individuals with disabilities.Equal Opportunity Employer, including individuals with disabilities and veterans. Apply tot his job Apply To this Job