Nurse Case Manager - Alexandria - VIVA

    VIVA
    VIVA Alexandria

    2 days ago

    $65,000 - $105,000 (USD) per year *
    Description

    Title:
    Nurse Case Manager
    • Onsite Mandatory skills: Case Management, Healthcare, managed care, Clinical practice, clinical tools, clinical indicators, hospital setting, alternative care setting, home health, ambulatory care, quality management processes, telephonic outreach, clinical case management, information review, data review Description: The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost effective outcomes.

    Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.

    Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits.


    Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Experience: 3 years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.

    Experience preferred managing chronic conditions, such as diabetes, hypertension, and asthma. Healthcare and/or managed care industry experience required. Case Management experience preferred
    • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding Effective communication skills, both verbal and written.
    Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.

    Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.

    Typical office working environment with productivity and quality expectations.


    Assessment of Members:

    Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.

    Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues.

    Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated.

    Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services.

    Enhancement of Medical Appropriateness and Quality of Care:

    Application and/or interpretation of applicable criteria and clinical guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Using holistic approach consults with supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary view in order to achieve optimal outcomes Identifies and escalates quality of care issues through established channels Ability to speak to medical and behavioral health professionals to influence appropriate member care.

    Utilizes influencing/motivational interviewing skills to ensure maximum member engagement and promotes lifestyle/behavior changes to achieve optimum level of health Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices.

    Helps member actively and knowledgably participate with their provider in healthcare decision-making Analyzes all utilization, self-report and clinical data available to consolidate information and begin to identify comprehensive member needs.


    Monitoring, Evaluation and Documentation of Care:

    In collaboration with the member and their care team develops and monitors established plans of care to meet the member's goals Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures.

    Majority of time is spent on telephonic outreach and documentation in a clinical case management platform. Duties

    Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services.

    Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures Experience 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required. Experience managing chronic conditions, such as diabetes, hypertension, and asthma. Healthcare and/or managed care industry experience required. Case Management experience preferred
    • Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding Effective communication skills, both verbal and written.
    Ability to multitask, prioritize and effectively adapt to a fast paced changing environment Sedentary work involving periods of sitting, talking, listening. Work requires sitting for extended periods, talking on the telephone and typing on the computer.

    Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.

    Typical office working environment with productivity and quality expectations. Requires an RN with unrestricted active license Education RN with current unrestricted Virginia state or compact licensure.

    Case Management Certification CCM preferred Notes:
    Schedule is Monday-Friday 8:00am – 5:00pm EST. No nights, no weekends, no holidays and no on-call.

    safety sensitive VIVA USA is an equal opportunity employer and is committed to maintaining a professional working environment that is free from discrimination and unlawful harassment.

    The Management, contractors, and staff of VIVA USA shall respect others without regard to race, sex, religion, age, color, creed, national or ethnic origin, physical, mental or sensory disability, marital status, sexual orientation, or status as a Vietnam-era, recently separated veteran, Active war time or campaign badge veteran, Armed forces service medal veteran, or disabled veteran.

    Please contact us at - for any complaints, comments and suggestions.


    Contact Details :
    Account co-ordinator: Keerthana Bathrappan,

    Phone No:
    , Email:
    • VIVA USA INC.
    3601 Algonquin Road, Suite 425 Rolling Meadows, IL |
    * This salary range is an estimation made by beBee
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