Hybrid RN Care Manager — Population Health Leader

Telligen; West Des Moines (IA); Híbrido; USD 65.000 - 90.000; Jornada completa

Descripción de la vacante

Telligen is a population health management company dedicated to improving care quality and outcomes for diverse populations. In the Nurse Care Manager (RN) role, you will assess patients, collaborate with clinicians, educate families, and adjust care plans to meet contractual and regulatory requirements, in a hybrid setup at West Des Moines, IA or Oklahoma City, OK.

This position requires an RN license, a four-year healthcare degree, and 1-year in human services or 3 years clinical practice,

Formación

• Four-year degree in health care or related field or equivalent training/experience.
• Minimum 1 year in human services and/or 3 years clinical practice.
• RN license or licensure as health care provider; state licensure may be required for different clients.
• Hybrid position available at West Des Moines, IA or Oklahoma City, OK.

Responsabilidades

• Performs assessment and evaluation of potential care management patients per client contractual obligations and/or state requirements.
• Collaborates with health care providers and ancillary service providers to validate the appropriate treatment plan and identify educational opportunities.
• Assessment/education may include face-to-face interaction for specific contracts.
• Effectively guides members to appropriate member benefit information.
• Provides ongoing education.
• Communicates with all health care providers to ensure appropriateness of care.
• May recommend and make adjustments in care if needed.
• Evaluates treatment adherence and reevaluates the patient's commitment to make the necessary changes.
• Documents per contractual requirements related to individual member status, and/or medical necessity review, negotiation.

Conocimientos

RN license

Care management

Educación

Four-year degree in health care or related field

Descripción del empleo

Telligen is a population health management company dedicated to improving care quality and outcomes for diverse populations. In the Nurse Care Manager (RN) role, you will assess patients, collaborate with clinicians, educate families, and adjust care plans to meet contractual and regulatory requirements, in a hybrid setup at West Des Moines, IA or Oklahoma City, OK.

This position requires an RN license, a four-year healthcare degree, and 1-year in human services or 3 years clinical practice,