Field-Based RN Care Coordinator – MLTSS & SNP

100 Horizon Healthcare Services, Inc; Hopewell (NJ); Sur place; USD 71 000 - 94 000; Plein temps

Avantages offerts par ce poste

Comprehensive health benefits

Retirement Plans

Generous PTO

Incentive Plans

Wellness Programs

Paid Volunteer Time Off

Tuition Reimbursement

Résumé du poste

100 Horizon Healthcare Services, Inc. is seeking an RN to perform assessments for PCA and MDC services, ensuring medically appropriate care under established guidelines and benefit structures.

The role involves evaluating care, coordinating services with patients and providers, and supporting the continuum of care while promoting quality and cost-efficiency. Travel in NJ is required for field-based assessments.

Qualifications

• High School Diploma/GED required.
• Bachelor degree preferred or relevant experience in lieu of degree.
• A minimum of two (2) years clinical experience is preferred.

Responsabilités

• Assesses patient's clinical need against established guidelines and/or standards to ensure that the services provided are medically appropriate to members needs and aligned with benefit structure.
• Evaluates the necessity, appropriateness and efficiency of service provided.
• Develops, coordinates and assists in implementation of services to meet the needs of the members.
• Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome.
• Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care.
• Monitors patient's medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness.

Connaissances

Analytical

Compassionate

Interpersonal skills

Decision making

Active listening

Organization/Planning

Problem solving

Team player

Time management

Written/Oral communication

Formation

High School Diploma/GED

Bachelor degree preferred

Outils

MS Office (Word, Excel, PowerPoint)

Lotus Notes

Description du poste

100 Horizon Healthcare Services, Inc. is seeking an RN to perform assessments for PCA and MDC services, ensuring medically appropriate care under established guidelines and benefit structures.

The role involves evaluating care, coordinating services with patients and providers, and supporting the continuum of care while promoting quality and cost-efficiency. Travel in NJ is required for field-based assessments.