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Integrated Resources, Inc ( IRI ) provided pay range
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Base pay range
$52.00/hr - $58.00/hr
Direct message the job poster from Integrated Resources, Inc ( IRI )
Lead Recruiter at Integrated Resources Inc.(Scientific/ Clinical/Life Sciences /Pharmaceuticals /Engineering/Healthcare/ Business Professionals)
Title: Nurse Case Manager
Location: REMOTE with some travel in Boston)
Duration: 2+ Months (temp to hire)
Shift- Mon to Fri 8 am to 5 pm
NOTE: Travel expenses will be reimbursed.
Job Description: -
- Under the administrative direction of the Clinical Manager, the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible for managing all aspects of member care for a panel of frail elderly, while working within a healthcare team.
- The NCM directly interfaces with physicians, other members of the primary care team, members, and their caregivers in identifying risk factors, conducting assessments, and developing and implementing care plans to comprehensively manage their members’ care.
Education:
- Bachelors of Science in Nursing (BSN) and Registered Nurse with current, unrestricted state license is required.
Experience:
- Minimum 3 years clinical nursing experience required.
- Experience in case management managing geriatric/chronic illness populations required.
- Experience within a SCO program is highly preferred.
- Experience in Medicare and/or Medicaid managed care preferred.
- Proficiency in computer use, the Internet, and health information technology is required.
- Case management certification is a plus.
Skill requirements:
- Work cooperatively as a team member across multiple levels within the organization.
- Demonstrate initiative in achieving individual, team, and organizational goals and objectives.
- Must be able to prioritize work and develop strategies for adapting to constantly changing priorities and emergencies.
- Under the administrative direction of the Clinical Manager, the Nurse Case Manager (NCM) for Senior Care Options (SCO) is responsible for managing all aspects of member care for a panel of frail elderly, while working within a healthcare team.
- The NCM directly interfaces with physicians, other members of the primary care team, members, and their caregivers in identifying risk factors, conducting assessments, and developing and implementing care plans to comprehensively manage their members’ care.
- Timely completion of initial and ongoing geriatric assessments.
- Development and communication (with members, caregiver and primary care physician/primary care team) of an individualized plan of care.
- Completion of the Minimum Data Set-Home Care (MDS-HC).
- Facilitation of member and caregiver access to community resources relevant to the member’s needs, including referrals to Adult Day Health, Adult Foster Care and the Personal Care Attendant Program.
- Participation in routine primary care team meetings.
- Pro-active management and follow-up (via home visits and by telephone) according to the member’s care plan.
- Management and coordination of all transitions of care, including Communicating care plan to providers in all settings of care (ED, hospital, rehabilitation facility, nursing home, home care) and ensuring providers receive timely clinical data that may impact healthcare treatment decisions.
- Direct caregiver support.
- Serves as a member advocate and facilitator to resolve issues that may be barriers to care.
- Provide education and coaching to the member, family, and/or caregiver about health status, treatment options, goals of care, and health insurance benefits to assist members in making the most informed decisions and help promote self-management
Seniority level
Employment type
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Job function
Science, Research, and Health Care ProviderIndustries
Hospitals and Health Care, Hospitals, and Insurance
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