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- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
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- Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs
- Provide patient and provider education
- Facilitate member access to community based services
- Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
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- Identify related risk management quality concerns and report these scenarios to the appropriate resources
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Clinical - Care Manager I (RN) - Columbus, United States - Spectraforce Technologies
Description
Title:
Clinical - Care Manager I (RN)
Duration: 03 Months
Remote - OH
Monday - Friday 8 AM - 5 PM EST
Description -
Position Purpose:
Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
Education/Experience:
Graduate from an Accredited School of Nursing.
Bachelor's degree in Nursing preferred.
2+ years of pediatric clinical nursing experience in a clinical, acute care, or community setting.
Knowledge of healthcare and managed care preferred.
Florida residency required.
Knowledge of healthcare and managed care preferred.
Prior experience working in a remote role preferred.
Prior case management experience preferred.
Bilingual in Spanish and English is preferred.
Licenses/Certifications:
Current state's RN license.
*Pediatrics - birth to 21
*Work-from-home case management role
Clinical - Care Manager I (RN) professionals in Columbus
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Gina Highman
PMHNP-BC
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PHOEBE BACUETES
HEALTHCARE WORK