- 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.
- Graduate from an Accredited School of Nursing.
- Bachelors degree in Nursing preferred.
- 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care.
- Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.
- Current states RN license.
- Graduate from an Accredited School of Nursing.
- Bachelors degree in Nursing preferred.
- 2+ years of clinical nursing or case management experience in a clinical, acute care, managed care or community setting.
- 2+ years experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment.
- Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.
- Other state specific requirements may apply.
- Candidates with active RN license in good standing in other states than NH, must obtain the NH RN equi within 90 days of hire.
- Active drivers license in good standing preferred. CCM preferred.
- Pediatrics assignments require 2+ years RN experience in pediatrics (clinical acute care, community or managed care setting) and 1+ year experience in care management
- Obstetrics (OB) assignments require 2+ years RN experience in OB (clinical, acute, community or managed care setting) and 1+ year experience in care management
- Licenses/Certifications: Current states RN license.
- Graduate from an Accredited School of Nursing.
- 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management or utilization experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care.
- Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.
- 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
- Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
- 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
- Actively participate in integrated team care management rounds
- Identify related risk management quality concerns and report these scenarios to the appropriate resources.
- Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience
- Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
- Direct care to participating network providers
- Perform duties independently, demonstrating advanced understanding of complex care management principles.
- Participate in case management committees and work on special projects related to case management as needed
- For New Hampshire, Massachusetts, & Michigan Complete Health - home visits required
- Labor & Delivery
- Ob/Gyn
- Day shift
- Monday to Friday
- RN (Required)
- Indiana (Required)
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Description
*BCForward is currently looking for Register Nurse (Remote)*About BCforward*Established in 1998, BCforward, a Black-owned firm headquartered in Indianapolis, IN, pioneers workforce management and digital product delivery solutions globally. With a team of 6,000+ consultants across the world, they champion human potential, guided by core values of People-Centricity, Excellence, and Diversity. As a market leader, BCforward provides a best-in-class workplace, emphasizing equal opportunity employment and fostering a culture of accountability and optimism.
*Position Title: Register Nurse (Remote)
*
Location: Indiana (Remote)
*Expected Duration:* *3+ months.
*Job Type:* *FULL TIME – Contract – Remote**Pay Rate: $50/hr on W2
*Position Purpose:
Job Types:
Full-time, Contract
Pay:
$50.00 per hour
Expected hours: 40 per week
Medical specialties:
Standard shift:
Weekly schedule:
License/Certification:
Location:
Location:
Remote
