RN Care Manager - Menasha, Wisconsin, , United States
1 day ago
Job description
The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager advocates for options and services to meet an individual's and family's comprehensive health needs through communication and coordination of available resources to promote quality, cost-effective outcomes.
Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required). Travel to the corporate office in Menasha is required occasionally for the position, including on first day.
Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Monday through Friday
Check out our 2024 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.
Job Responsibilities:
- Screen candidates for case management and when appropriate completes assessments, care plans with prioritized goals, interventions, and timeframes for re-assessment using evidence-based clinical guidelines. Evaluate and determine member needs based on clinical or behavioral information such as diagnosis, disease progression, procedures and other related therapies
- Review results from medical or behavioral tests and procedures and updates care plan to reflect progress towards goals; close cases when expected goals/outcomes are achieved
- Provide information and outreach regarding case or condition management activities to members, caregivers, providers and their administrative staff
- Evaluate and process member referrals from physicians to other specialty providers
- Assess, plan, facilitate and advocate for individuals to identify quality, cost effective interventions services and resources to ensure health needs are met
- Works with members and families on self-management approaches using coaching techniques such as motivational interviewing
- Educate the individual, his/her family and caretakers about case and condition management, the individual's health condition(s), medications, provider and community resources and insurance benefits to support quality, cost effective health outcomes.
- Facilitate the coordination, communication and collaboration of the individual's care among his/her providers including tertiary, non-plan providers and community resources with the goal of controlling costs and improving quality.
- Schedule visits with the individual and participates in facility-based care conferences as appropriate to ensure quality care, appropriate use of services, and transition planning.
- Stay abreast of current best practices and new developments
- Other duties as assigned
Job Requirements:
- Graduation from accredited school of nursing
- Bachelor's degree in Nursing preferred
- RN licensure in the State of Wisconsin
- Case Management certification preferred
- Four years of clinical health care experience as a RN required
- Chronic condition management experience preferred, especially:
- Diabetes
- Cardiac
- Pulmonology
- Previous experience in case management, utilization management, insurance, or managed care preferred
- Experience with Medicare, Medicaid preferred
Network Health is an Equal Opportunity Employer
Similar jobs
The Registered Nurse Care Manager provides case management services to members across the healthcare continuum. · Screen candidates for case management and completes assessments, care plans with prioritized goals. · Evaluate and determine member needs based on clinical or behavio ...
1 month ago
The Registered Nurse Care Manager provides case management services to members across the healthcare continuum. · Screen candidates for case management and when appropriate completes assessments... · ...
1 month ago
The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation care coordination evaluation and advocacy to all members across the healthcare continuum. · ,,,, , ,i>. ...
3 days ago
The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. · ...
3 days ago
The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager advocates for options and servic ...
1 day ago
The Registered Nurse Care Manager provides case management services that are member-centric and include assessment, planning, facilitation, care coordination, evaluation and advocacy to all members across the healthcare continuum. The Care Manager advocates for options and servic ...
1 day ago
This position provides leadership to the Personal Lines Customer Care teams. This role positions Customer Care to successfully deliver on key metrics including premium growth, quality, retention, and service levels. · ...
1 month ago
We're excited to offer a unique opportunity for an experienced professional to join our team as a Part-Time Care Manager in a job-share arrangement. This role is perfect for someone who values flexibility while still making a meaningful impact on the members we serve. · Under gen ...
2 weeks ago
Summary: · This position provides leadership to the Personal Lines Customer Care teams. This role positions Customer Care to successfully deliver on key metrics including premium growth, quality, retention, and service levels. Additionally, this role has oversight of processes, p ...
1 day ago
This position provides leadership to the Personal Lines Customer Care teams. This role positions Customer Care to successfully deliver on key metrics including premium growth, quality, retention and service levels. · Embraces change leads by example maintains a positive work envi ...
2 weeks ago
The Care Manager serves frail elders and adults with physical disabilities as part of an interdisciplinary team to promote their overall well-being by providing high-quality care. The position requires a comprehensive assessment of the member's outcomes and needs, coordinating se ...
3 days ago
Community Care is hiring a Case Manager/Care Manager to join our Family Care Program team. · ...
1 month ago
· Join our award winning culture as we serve members in your area · The Care Manager, as part of an interdisciplinary team (IDT), serves frail elders, adults with physical disabilities and adults with intellectual/developmental disabilities who are members of Lakeland Care (LC ...
1 day ago
This position provides leadership to the Personal Lines Customer Care teams. This role positions Customer Care to successfully deliver on key metrics including premium growth, quality, retention, and service levels. · Moves fast and embraces change. · Always looks for better ways ...
1 month ago
We're growing - Join our award winning culture as we serve members in your area The RN Care Manager serves Lakeland Care's members the frail elderly adults with physical disabilities and adults with intellectual/developmental disabilities. Coordinate and participate in home visit ...
3 days ago
Community Care is offering a full-time opportunity for RN Care/Case Manager to join the Day Shift in Outagamie County. · ...
3 weeks ago
RN Care/Case Manager job opportunity at Community Care in Appleton, WI. · Collaborate with site management team to establish and maintain uniform care delivery for members. · Conduct phone and in-person assessments using decision tools and resources. · ...
3 weeks ago
Join our growing team: Tree Care Project Manager · Explore horticulture and the evolving landscape industry. · ...
3 weeks ago
Pay Range: · $ $ A successful candidate's actual pay rate will be based on several factors including relevant experience, skills, training, certifications and education. · Hospital Sisters Health System (HSHS) is seeking a Manager-Care Management to join our team. Implements an o ...
1 day ago
The manager is responsible for the daily operations of the care management and social work programs at assigned sites. · Collaborates with Hospital Leaders, Post-Acute Partners, Physicians, Physician Advisors, Nurses, and others to ensure accurate and timely progression of care. ...
1 month ago