Care Coordinator

Integrated Resources Inc.; Nashville (TN); On-site; USD 55,000 - 75,000; Full time

Job summary

A leading company in workforce solutions seeks a Care Coordinator in Nashville, TN. The successful candidate, a Registered Nurse with substantial healthcare experience, will manage care plans, assess client needs, and implement effective coordination across services. Expertise in Microsoft Office and independent problem-solving is essential for success in this role.

Qualifications

• Minimum of 5 years healthcare experience with 3 years clinical.
• Experience in Utilization Management or Managed Care preferred.
• Certification as a Case Manager (CCM) preferred.

Responsibilities

• Assess members’ medical care needs and develop care plans.
• Implement and modify resources to meet care plan goals.
• Monitor and evaluate care plan effectiveness.

Skills

Independence

Organization

Communication

Problem Solving

Analytical Skills

Education

Registered Nurse license

Tools

Microsoft Office

Windows

Job description

Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively. Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields. This has helped us expand into new sectors and steadily grow.

We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates. By continually exceeding their expectations, we have built successful ongoing partnerships that help us stay true to our commitments of performance and integrity.

Our team works hard to deliver a tailored approach for each and every client, critical in matching the right employers with the right candidates. We forge partnerships that are meant for the long term and align skills and cultures. At IRI, we know that our success is directly tied to our clients’ success.

Job Description

The care coordinator will perform the following essential activities of care coordination:

· Assessment - The care coordinator will assess information about a members’ medical care needs, social situation and functioning to identify individual needs in order to identify members medical needs and develop a plan of care that will address those needs.

· Planning – The care coordinator will involve the enrollee and other significant parties in the determination of specific objectives, goals, and actions as identified through the assessment process. The care coordinator will use the information to develop a plan specific to the enrollee’s medical needs.

· Implementation – The care coordinator will facilitate and execute specific interventions that will lead to accomplishing the goals established in the plan of care to ensure the member’s health, safety, and welfare.

· Coordination – The care coordinator will organize, integrate, and modify the resources necessary to accomplish the goals established in the plan of care.

· Monitoring – The care coordinator will gather sufficient information from all relevant sources in order to determine the effectiveness of the plan of care.

· Evaluation – At appropriate intervals, the care coordinator will determine the plan of care’s effectiveness in reaching desired outcomes and goals. This process might lead to a modification or change in the plan of care in its entirety or in any of its component parts.

Qualifications

· Registered Nurse with active license in the state of Tennessee or hold a license in the state of their residence if the state is participating in the Nurse Licensure Compact Law.

· Minimum of 5 years healthcare w/ 3 years clinical experience required.

· 2 years ,experience in Utilization Management, Case Management or Managed Care.

· Must be PC literate with extensive knowledge of Windows and Microsoft Office.

· Must be able to pass Windows navigation test.

· FACETS and Care Advance experience preferred.

· Exceptional skills of independence, organization, communication, problem-solving, professional interaction, and human relation skills, as well as analytical skills and problem solving ability .

· Ability to work within specified timeframe requirements.

· Certification as a Case Manager (CCM) preferred .

· Milliman’s Certification preferred.

Additional Information

All your information will be kept confidential according to EEO guidelines.