Remote Senior Care Manager, Clinical Operations

View Moreicons; United States; On-site; USD 65,000 - 90,000; Full time

Job summary

Sagility seeks a Senior Care Specialist-Clinical Operations to support Medicare/Medicaid members from a work-at-home setting in the United States. You will design actionable care plans, coordinate with a multidisciplinary team, and guide members toward optimal health outcomes.

The role requires BSN or MSN, active nursing license, 3 years of clinical experience, and proficiency with MS Excel and care-management software.

Qualifications

• BSN or MSN degree in nursing or equivalent.
• Active nursing license in non-compact states.
• Resident in state that holds compact license with active license.
• Minimum of 3 years of clinical nursing experience.
• Experience with motivational interviewing.
• Experience with MCG or CMS guidelines, assessment and documentation practice.

Responsibilities

• Telephonically assess Medicare, Medicaid, and/or Group Account members and create actionable and measurable care plans.
• Use nursing judgment to assess and coordinate care for acute situations (APS, EMS).
• Discuss transitions of care to assist with safe discharge to the home and coordinate care for DME, home health, provider appointments, etc.
• Guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
• Assess member’s physical, environmental and psycho-social health issues and work with a multidisciplinary team to provide timely intervention.

Skills

Telephonic communication

Virtual communication

Microsoft Excel

Software navigation

Multitasking

Interpersonal skills

Clinical knowledge

Education

BSN or MSN degree in nursing

Tools

Dual monitors

Job description

Sagility seeks a Senior Care Specialist-Clinical Operations to support Medicare/Medicaid members from a work-at-home setting in the United States. You will design actionable care plans, coordinate with a multidisciplinary team, and guide members toward optimal health outcomes.

The role requires BSN or MSN, active nursing license, 3 years of clinical experience, and proficiency with MS Excel and care-management software.