Community Care Nurse Case Manager, HCBS Butte (Full Time)

CO_01 Benefis Hospitals, Inc.; Butte (MT); On-site; USD 32,000 - 45,000; Full time

Job summary

Benefis Health System is seeking a Home and Community-Based Case Manager to coordinate patient-centered services in home and community settings. The role focuses on clinical assessment, medication review, and management of chronic illnesses to prevent hospitalizations and ensure medical stability at home.

You will be part of a multidisciplinary Care Management Team serving Montana Big Sky Waiver Medicaid beneficiaries, requiring strong collaboration, crisis intervention skills, and knowledge of

Qualifications

• Graduate of an accredited school of nursing; RN or LPN as state approved
• Current state licensure as RN or LPN
• Certification in Case Management preferred
• Experience as a nurse (RN/LPN) with at least 3 years of professional nursing
• Knowledge of case management methods, practice and procedures
• Knowledge of Medicare/Medicaid reimbursement processes
• Knowledge of issues and needs of long-term care consumers
• Prior knowledge of managing a budget

Responsibilities

• Deliver home and community-based case management services as part of the Care Management Team
• Coordinate assessment, planning, and monitoring of services for Medicaid beneficiaries
• Review medications, manage chronic illnesses, and coordinate skilled services
• Adhere to licensing board requirements and Benefis Health System policies
• Handle deadlines and adapt to changing situations while maintaining accuracy

Skills

Case management

Nursing

Crisis intervention

Budget knowledge

Medicare/Medicaid knowledge

Education

RN or LPN license

Bachelor of Science in Nursing preferred

State licensure

Case Management certification preferred

Job description

Benefis is one of Montana's largest and premier health systems, and we are committed to providing excellent care for all, healing body, mind, and spirit. At Benefis, we work hard to support our employees in every aspect of their careers by offering outstanding benefits and compensation, state-of-the-art facilities, and multiple growth opportunities. The only thing missing is you!

Home and Community-Based case management services are centered care services delivered in the home and community. Program services fall into the categories of health services and human services. Primarily responsible for the health service aspect of case management to meet the medical needs of members. Member of the multi-disciplinary Care Management Team that provides individualized member-driven planning, coordination, assessment, and monitoring of services to help enrolled Montana Big Sky Waiver Medicaid beneficiaries who are elderly or physically disabled residing in their own homes or communities rather than institutionalized care settings.

Provides clinical assessment, medication review, management of chronic illnesses, and coordination of skilled services that focus on the health service clinical needs, medical stability, and skilled services of the member. The goal is to prevent hospitalization and ensure medical stability at home.

• Demonstrates the ability to deal with pressure to meet deadlines, to be accurate, and to handle constantly changing situations.
• Demonstrates the ability to deal with a variety of people, deal with stressful situations, and handle conflict.

Will perform all job duties or job tasks as assigned. Will follow and adhere to all requirements, regulations and procedures of any licensing board or agency. Must comply with all Benefis Health System's organization policies and procedures.

Education/License/Experience Requirements:

• Graduate of an accredited school of nursing, bachelor in nursing preferred or LPN, if state approved.
• Current state licensure as a Registered Nurse or LPN if state approved.
• Certification in Case Management preferred.
• Experience as a Nurse (RN/LPN) commensurate with minimum of three (3) years of professional nursing experience
• Knowledge of case management methods, practice, and procedure.
• Knowledge of the application of diagnostic and crisis intervention skills.
• Knowledge of issues and needs of long-term care consumers.
• Prior knowledge of managing a budget.
• Prior experience with Medicare and Medicaid reimbursement.
• Knowledge of human behavior, disabilities, and the aging process.

Exemption Wage Non-Exempt

Starting Wage $27.86/hourly Actual offered wage is based on applicable experience