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    Care Manager I - Oregon, United States - Spectraforce Technologies

    Spectraforce Technologies
    Spectraforce Technologies Oregon, United States

    1 week ago

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    Description
    Job Title:

    Care Manager I (RN)

    Job Duration
    :
    03 Months with possible extension

    Job Location:

    Fully Remote

    Must live in Oregon and have OR RN License

    8 am - 5 pm PST | Mon-Fri No flexibility

    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


    • Develop, assess and adjust, as necessary, the care plan and promote desired outcome
    • 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
    • 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
    • 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
    • Actively participate in integrated team care management rounds
    • Identify related risk management quality concerns and report these scenarios to the appropriate resources
    • Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
    Qualifications

    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. ( Oregon RN License )

    *Pediatrics - birth to 21

    *Work-from-home case management role
    #J-18808-Ljbffr

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