Case Management Nurse

TCI Technology Consulting Inc; Macon (GA); On-site; USD 65,000 - 90,000; Full time

Job summary

TCI Technology Consulting Inc is seeking an experienced Registered Nurse (RN) Case Manager for a Home Health role in Macon, GA. This contract-to-hire position requires coordination of patient care, development of individualized care plans, and collaboration with patients, families, and a multidisciplinary team.

The ideal candidate will have an active RN license, Case Management Certification, and home health or hospice experience.

Qualifications

• Active, unrestricted RN license.
• Case Management Certification.
• Associate or Bachelor's degree in Nursing.
• Hospice or home health care experience preferred.
• Clinical nursing and case management experience preferred.
• Ability to analyze complex medical information and coordinate care.

Responsibilities

• Perform comprehensive assessment of high-risk members.
• Collaborate with primary care providers to implement an individualized, comprehensive care plan with specific interventions.
• Identify cost-efficient, appropriate levels of care and reassess as needed.
• Coordinate non-medical supports (housing, transportation) to support treatment plans.
• Coordinate care transitions and communicate with physicians, social workers, discharge planners, and claims professionals.
• Engage specialty resources as needed to achieve optimal outcomes.
• Maintain detailed records of clinical, functional, and fiscal outcomes during management.

Skills

Clinical judgment

Communication

Care coordination

Organizational skills

Assessment

Education

Associate or Bachelor's degree in Nursing

Case Management Certification

RN license (Active, unrestricted)

Job description

TCI has an immediate need for a Home Health RN Case Manager in Macon, GA. This is a contract-to-hire opportunity.

Note: This position requires US Citizenship.

SUMMARY

We are seeking a compassionate and organized Registered Nurse (RN) Case Manager to coordinate patient care, assess needs, develop individualized care plans, and collaborate with patients, families, providers, and interdisciplinary teams. The ideal candidate will have strong clinical judgment, communication, and care coordination skills, with a commitment to delivering high-quality, patient-centered outcomes.

RESPONSIBILITIES

• Perform comprehensive assessment of high-risk members.
• Collaborate with primary care providers to ensure the implementation of an individualized, comprehensive care plan with specific interventions designed to engage the member.
• Address, identify, and continuously reassess cost-efficient, appropriate levels of care.
• Put non-medical support in place to ensure compliance with treatment plans (such as housing and transportation).
• Coordinate care transitions as needed.
• Coordinate with physicians, social workers, discharge planners, and claims professionals in transitioning patient to appropriate level of care.
• Engage specialty resources as needed to achieve optimal resolution.
• Keep detailed records of clinical, functional, and fiscal outcomes during the management process.
• Identify opportunities for health promotion and illness prevention.
• Prevent adverse patient occurrences when possible and intervene quickly if prevention is not possible, thereby minimizing poor outcomes.
• Act as patient advocate by protecting privacy and confidentiality issues.

REQUIREMENTS

• Active, unrestricted RN license.
• Case Management Certification.
• Associate or Bachelor's degree in Nursing.
• Hospice experience is a must and home care home base experience is a plus.
• Clinical nursing experience; case management experience preferred.
• Ability to analyze complex medical information and make rational decisions
• Strong assessment, care coordination, communication, and organizational skills.
• Ability to collaborate effectively with patients, families, providers, and interdisciplinary teams.
• Knowledge of care planning, documentation, and healthcare resources.
• Proficiency with electronic medical records and standard computer applications.
• Home Health care provided in Pulaski, Saline, Jefferson, Faulkner Counties.
• Work schedule is 8am-5pm M-F; milage reimbursement provided.