Field RN Case Manager

Healthcare Support Staffing; Cleveland (OH); Hybrid; USD 70,000 - 90,000; Full time

Job summary

A leading healthcare staffing firm is seeking a Field Registered Nurse Case Manager in Cleveland, OH. The role involves working with Medicare members with complex conditions, requiring 60-70% travel. Candidates must have over 5 years of clinical nursing experience, with at least 2 years in case management and familiarity with managed care. This long-term contract offers the opportunity to provide vital support to healthcare teams while promoting quality care.

Qualifications

• 5+ years of clinical nursing experience with no case management experience.
• At least 2 years of case management experience required.
• 2+ years in a managed care environment preferred.

Responsibilities

• Assess, plan, and coordinate care for members with complex conditions.
• Perform reviews to ensure appropriate level of care.
• Develop and adjust care plans as necessary.
• Coordinate services between providers to meet member needs.
• Educate patients and providers.
• Enter assessments and authorizations into the system.

Skills

Clinical Nursing

Case Management

Managed Care

Communication

Job description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Job Title: Field Registered Nurse Case Manager

Employment: Long Term Contract

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

Start Date: ASAP

Location: Cleveland, OH

ABOUT THE POSITION:

• 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 they will be working remote.
• Candidates will be traveling 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

Job Description:

• 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

• 5+ years of clinical nursing if no Case Management Experience
• Looking for at least 2 years CM
• 2+ years of related experience in managed care environment. (Medicare Experience)* Preferred

Additional Information

Are you an experienced Registered Nurse looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career In Nursing by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the RN position for you!

If you are interested, reach out to me at 407-478-0332x129.

The greatest compliment to our business is a referral. If you know of someone looking for a new opportunity, please pass along my contact information!