Field Registered Nurse Case Manager

Healthcare Support Staffing; Toledo (OH); On-site; USD 70,000 - 90,000; Full time

Job summary

A national healthcare recruiting firm is seeking a Field Registered Nurse Case Manager to work with Medicare members facing complex medical conditions. This role requires 60-70% travel to assess and create care plans, with the rest performed remotely. Candidates should possess a Registered Nurse license and have over 5 years of nursing experience. This position offers a long-term contract and the chance to impact patient care positively while working with a prestigious healthcare organization.

Qualifications

• Registered Nurse licensure is required.
• 5+ years of experience as a Registered Nurse without specific Case Management experience is acceptable.

Responsibilities

• Assess and create care plans for Medicare members with complex conditions.
• Coordinate services between various medical providers.
• Perform telephonic and on-site reviews for admissions.

Skills

Registered Nurse

5+ years RN Experience

Job description

Field Registered Nurse Case Manager

Employment: Long Term Contract

Shift: 8:00-5:00 pm M-F

Start Date: ASAP

Job Description

Will be working with Medicare Members with complex medical or behavioral health conditions or who are at high risk.

Will be traveling 60%-70% of time; the remaining time will be spent in the field, rest of the time will be working remote.

Candidate will travel to members’ homes to assess and create care plans.

Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical providers as necessary to meet the complete psychological, social, and medical needs of members.

• Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health conditions or are at high risk in order to promote quality, cost effective care.
• Advanced review of admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care.
• Develop, assess and adjust as necessary the care plan and promote desired outcome.
• Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical providers as necessary to meet the complete medical socio economic needs of clients. Participate in face to face visits with high risk members at point of service as needed. For BCHP only, participate in face to face visits with high risk members at point of service.
• Provide patient and provider education.
• Identify related risk management quality concerns and report these scenarios to the appropriate resources.
• Data enters assessments and authorizations into the system.

Qualifications

• Registered Nurse
• 5+ years RN Experience if without Case Management experience