-
Nurse Practitioner
2 weeks ago
MRG Exams Pocatello, United StatesWe are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focu ...
-
Nurse Practitioner- Pocatello ID
3 weeks ago
MRG Exams Pocatello, United StatesWe are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focu ...
-
Nurse Practitioner- Pocatello ID
2 weeks ago
MRG Exams Pocatello, United StatesWe are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focu ...
-
Nursing Service Manager
4 days ago
NovaWorks Rockland, ID, United States FreelanceThe Frank Wagner Holding is a family-owned company founded in 1999 in Hamburg, Germany. At our locations, we strive to create a home for elderly and care-dependent individuals. That's why we create an environment where residents and employees feel comfortable. · The newest additi ...
-
Deputy Residential Area Manager
3 days ago
Horizon Technologies Tyhee, United StatesDo you love being able to help people in your nursing profession and value the joy of work? · ▸ If respectful interaction in the workplace is important to you · ▸ If you are looking for a strong team and a good working atmosphere · ▸ If appreciation and recognition motivate you · ...
-
Nurse Practitioner- Pocatello ID
2 weeks ago
MRG Exams Inkom, United StatesWe are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focu ...
-
Nurse Practitioner- Pocatello ID
3 weeks ago
MRG Exams Inkom, United StatesWe are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focu ...
-
Travel Nurse RN
1 week ago
MedPro Healthcare Staffing Pocatello, ID, United StatesMedPro Healthcare Staffing is seeking a travel nurse RN Psychiatric for a travel nursing job in Pocatello, Idaho. · Job Description & Requirements · Specialty: Psychiatric · Discipline: RN · Start Date: 06/10/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours, nights ...
-
Travel Nurse RN
1 week ago
Genie Healthcare Pocatello, ID, United StatesGenie Healthcare is seeking a travel nurse RN Behavioral Health for a travel nursing job in Pocatello, Idaho. · Job Description & Requirements · Specialty: Behavioral Health · Discipline: RN · Start Date: 06/03/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours, nigh ...
-
Nurse Practitioner- Pocatello ID
3 weeks ago
MRG Exams Mccammon, United StatesWe are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focu ...
-
Travel Nurse RN
1 week ago
Epic Travel Staffing Pocatello, ID, United StatesEpic Travel Staffing is seeking a travel nurse RN Psychiatric for a travel nursing job in Pocatello, Idaho. · Job Description & Requirements · Specialty: Psychiatric · Discipline: RN · Start Date: 06/03/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours, nights · Emp ...
-
Nurse Practitioner- Pocatello ID
2 weeks ago
MRG Exams Mccammon, United StatesWe are looking for the right Nurse Practitioner to perform medical assessments on United States Veterans as part of the VA's disability benefits process. · In performing Disability Assessments, you will review medical records electronically through a web portal and perform a focu ...
-
Travel Nurse RN
1 week ago
Tact Staff Pocatello, United StatesJob Description · Tact Staff is seeking a travel nurse RN Psychiatric for a travel nursing job in Pocatello, Idaho. · Job Description & RequirementsSpecialty: Psychiatric · Discipline: RN · Start Date: ASAP · Duration: 13 weeks · 36 hours per week · Shift: 12 hours · Employment T ...
-
Travel Nurse RN
1 week ago
Epic Travel Staffing Pocatello, United StatesJob Description · Epic Travel Staffing is seeking a travel nurse RN Psychiatric for a travel nursing job in Pocatello, Idaho. · Job Description & RequirementsSpecialty: Psychiatric · Discipline: RN · Start Date: 06/03/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 hour ...
-
Travel Nurse RN
6 days ago
RTG Medical-Nursing Pocatello, United StatesJob Description · RTG Medical-Nursing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Pocatello, Idaho. · Job Description & RequirementsSpecialty: PCU - Progressive Care Unit · Discipline: RN · Start Date: 06/17/2024 · Duration: 13 weeks · 36 ...
-
Travel Nurse RN
1 week ago
RTG Medical-Nursing Pocatello, United StatesJob Description · RTG Medical-Nursing is seeking a travel nurse RN Cardiac Cath Lab for a travel nursing job in Pocatello, Idaho. · Job Description & RequirementsSpecialty: Cardiac Cath Lab · Discipline: RN · Start Date: 06/10/2024 · Duration: 13 weeks · 40 hours per week · Shift ...
-
Travel Nurse RN
1 week ago
RTG Medical-Nursing Pocatello, United StatesJob Description · RTG Medical-Nursing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Pocatello, Idaho. · Job Description & RequirementsSpecialty: PCU - Progressive Care Unit · Discipline: RN · Start Date: 06/10/2024 · Duration: 13 weeks · 36 ...
-
Travel Nurse RN
4 days ago
Epic Travel Staffing Pocatello, ID, United StatesEpic Travel Staffing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Pocatello, Idaho. · Job Description & Requirements · Specialty: ICU - Intensive Care Unit · Discipline: RN · Start Date: 06/17/2024 · Duration: 13 weeks · 36 hours per week · S ...
-
Travel Nurse RN
1 day ago
RTG Medical-Nursing Pocatello, ID, United StatesRTG Medical-Nursing is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Pocatello, Idaho. · Job Description & Requirements · Specialty: ICU - Intensive Care Unit · Discipline: RN · Start Date: 06/17/2024 · Duration: 13 weeks · 36 hours per week · Sh ...
-
Travel Nurse RN
1 day ago
RTG Medical-Nursing Pocatello, ID, United StatesRTG Medical-Nursing is seeking a travel nurse RN Labor and Delivery for a travel nursing job in Pocatello, Idaho. · Job Description & Requirements · Specialty: Labor and Delivery · Discipline: RN · Start Date: 06/17/2024 · Duration: 13 weeks · 36 hours per week · Shift: 12 hours ...
Remote Care Management Nurse - Pocatello, United States - Cambia Health
Description
This job was posted by : For more information, please see: Care Management Nurse (Future Opportunities)Remote within WA, OR, ID, UT. Candidates outside of these states will not be considered.
Primary Job Purpose
The Care Management Nurse provides clinical care management (such as case management, disease management, and/or care coordination) to best meet the member\'s specific healthcare needs and to promote quality and cost-effective outcomes.
Oversees a collaborative process with the member and those involved in the member\'s care to assess, plan, implement, coordinate, monitor and evaluate care as needed.
Please note this role is a candidate pool, and we are always looking for top talent. We do not always have open positions but we encourage you to submit your resume so you will be considered for all open roles as they become available.
General Functions and Outcomes
Responsible for essential activities of case management including assessment, planning, implementation, coordination, monitoring and evaluation.
Assessment:
collection of in-depth information about a member\'s situation and functioning to identify individual needs.
Planning:
identification of specific objectives, goals, and actions designed to meet the member\'s needs as identified in the assessment.
Implementation:
execution of the specific case management activities that will lead to accomplishing the goals set forth in the plan.
Coordination:
organization, securing, integrating and modifying resources.
Monitoring:
gathering sufficient information to determine the plan\'s effectiveness and the evaluation phase should determine the effectiveness of reaching the desired outcomes.
Applies clinical expertise and judgment to ensure compliance with medical policy, medical necessity guidelines, and accepted standards of care.Utilizes evidence-based criteria that incorporates current and validated clinical research findings.
Practices within the scope of their license.
Consults with physician advisors to ensure clinically appropriate determinations.
Serves as a resource to internal and external customers.
Collaborates with other departments to resolve claims, quality of care, member or provider issues.
Identifies problems or needed changes, recommends resolution, and participates in quality improvement efforts.
Responds in writing or by phone to members, providers and regulatory organizations in a professional manner while protecting confidentiality of sensitive documents and issues.
Provides consistent and accurate documentation.Plans, organizes and prioritizes assignments to comply with performance standards, corporate goals, and established timelines.
Minimum Requirements
Knowledge of health insurance industry trends, technology and contractual arrangements.
General computer skills (including use of Microsoft Office, Outlook, internet search). Familiarity with health care documentation systems.
Strong oral, written and interpersonal communication and customer service skills.
Ability to interpret policies and procedures, make decisions, and communicate complex topics effectively.
Strong organization and time management skills with the ability to manage workload independently.
Ability to think critically and make decision within individual role and responsibility.
Normally to be proficient in the competencies listed above
Care Management Nurse would have a/an Associate or Bachelor\'s Degree in Nursing or related field and 3 years of case management, utilization management, disease management, or behavioral health case management experience or equivalent combination of education and experience.
Must have licensure or certification, in a state or territory of the United States, in a health or human services discipline that allows the professional to conduct an assessment independently as permitted within the scope of practice for the discipline (e.g. medical vs. behavioral health) and at least 3 years (or full time equivalent) of direct clinical care
Must have at least one of the following: Certification as a case manager from the URAC-approved list of certifications; or Bachelor\'s degree (or higher) in a health or human services-related field (psychiatric RN or Master\'s degree in Behavioral Health preferred for behavioral health care management); or Registered nurse (RN) license (must have a current unrestricted RN license for medical care management)
#LI-Remote
The expected hiring range for a Care Management Nurse is \$ \$41.50 an hour depending on skills, experience, education, and training; relevant licensure / certifications; and performance history.
