Care Manager

Integrated Resources Inc.; Washington (District of Columbia); On-site; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare service provider seeks a Care Manager (RN) to coordinate care for members. The successful candidate will leverage their case management expertise to engage, assess, and advocate for members, ensuring they achieve optimal health through tailored care plans. This role demands a nursing degree and at least 3 years of relevant experience, with a focus on delivering quality, cost-effective care.

Qualifications

• Assist members in achieving optimal health through care coordination and case management.
• Function as a single point of contact and advocate for members.
• Conduct comprehensive assessments and create individualized care plans.

Responsibilities

• Engage and assess members for care coordination needs.
• Create and implement care plans with individualized goals.
• Coordinate with healthcare providers and document progress.

Skills

Case Management

Care Coordination

Education

Bachelor's in Nursing

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

• At least 3 years case management -REQUIRED

• Bachelor's in Nursing -REQUIRED

Qualifications

• The Care Manager (RN) assists members appropriate for care coordination and case management services in achieving their optimal level of health.

• The Care Manager (RN) is responsible for engaging the member and providers to assess, plan and establish individual member goals. Will facilitate and coordinate care for the members while assuring quality and use of cost-effective resources.

• The position will function as a single point of contact and be an advocate for members in the care coordination program.

• Assess members to determine care coordination and case management needs for all referred members.

• Completes comprehensive assessment of environmental, Psycho-social and support needs. Identifies problems/barriers for care coordination and appropriate care management interventions.

• Creates a plan of care to assist members in reducing/resolving problems and or barriers so that members may achieve their optimal level of health. Identifies both short and long term goals and associated time frames for completion. Shares goals with the member and family as appropriate.

• Identifies and implements the appropriate level of intervention based upon the member’s needs and clinical progress.

• Schedules follow up calls as necessary, makes appropriate referrals.

• Implements actions to address member issues.

• Documents progress towards meeting goals and resolving problems.

• Coordinates care and services with the Account manager, Complex RN Case Manager, and member, family members as appropriate, PCP, Specialist, and Facility/Vendor Providers