Registered Nurse/Case Manager

TALENT Software Services; Washington (District of Columbia); On-site; USD 61,000 - 130,000; Full time

Benefits offered by this job

Flu vaccine requirement

Potential to work with Covid patients

Job summary

A healthcare services provider is seeking a Case Manager for a full-time role in Washington, DC. The candidate must have a DC RN license and significant experience in acute care and case coordination. Responsibilities include conducting assessments and developing care plans. This role offers competitive pay ranging from $61,000 to $130,000 annually, emphasizing in-office work and interaction with patients.

Qualifications

• Must have DC RN license prior to start date.
• At least 2 years of experience in relevant nursing roles.
• Knowledge of regulatory skills required.

Responsibilities

• Conduct comprehensive assessments and develop care plans.
• Manage ongoing care within the EMR system.
• Communicate with enrollees in the Washington DC area.

Skills

Acute Hospital experience

Long Term Acute Care/Rehab

Care coordination experience

Discharge Planning

Regulatory knowledge (CPT codes, HEDIS, NCQA)

Utilizing InterQual Criteria

Education

Pending DC RN license

BLS

Job description

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TALENT Software Services provided pay range

This range is provided by TALENT Software Services. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$40.00/hr - $43.00/hr

Position: 2 years – CASE MANAGER – 40 HRS WEEK

• Shift: 5 x 8 day 0800-1630
• MUST BE ABLE TO START RIGHT AWAY, 11/3 THE LATEST and NO RTO ALLOWED
• Local Rate within *** Miles of facility
• On Call: None
• Weekend Requirement: None
• DC District requirement: MUST be able to WORK in office at Tilden Location
• Tilden Office Location: Connecticut street and Tilden street in NW DC
• *This is an in office setting in Washington DC. Some face to face will be required at the wellness center off Minnesota avenue in SE DC. Training and office work are located off Connecticut street and Tilden street in NW DC*

Requirements

• Pending DC RN license accepted but MUST have license prior to start date (***Aya Paid OPEN LICENSE PROJECT***)
• BLS
• 2 years of experience required: Acute Hospital, Long Term Acute Care/RehabSkilled Nursing, Admission Criteria, experience in Care coordination, Discharge Planning, Utilizing InterQual Criteria, and Utilizing Milliman Guidelines; previous Charge experience preferred
• Regulatory skills required: knowledge of CPT codes, Department of Health DRG, HEDIS measures, NCQA, OSHA procedures and JCC
• *unit will take FIRST TIME TRAVELER* must present with strong background

Unit Information

• Chronic diagnoses (High Risk Pregnancy, Postpartum, DM, CHF, COPD, Asthma, obesity/overweight, All Behavorial Health, etc.)
• CM make calls to enrollees in Washington DC area to complete comprehensive assessments, developing care plans, and ongoing management within the EMR (guiding care/Healthedge).
• Dress Code: business casual

License Provisions

• MUST provide proof of pending status at time of submission and
• MUST have DC license in hand prior to start date
• Aya Paid OPEN LICENSE PROJECT**

*This facility requires that all employees have the Flu vaccine*

*May come into contact with Covid Patients*

Seniority Level

Mid-Senior level

Employment Type

Full-time

Job Function

Other

Industries

IT Services and IT Consulting

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