RN Care Manager - NICU

New Healthcare Solutions; Missouri; Remote; USD 60,000 - 90,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated care management professional to enhance the quality of patient care. This role involves assessing and coordinating comprehensive medical services for clients, ensuring they receive optimal support across the healthcare continuum. The ideal candidate will have a strong nursing background, excellent communication skills, and a passion for improving patient outcomes. If you are looking to make a significant impact in healthcare while enjoying the flexibility of a work-from-home role, this opportunity is perfect for you.

Qualifications

• Graduate from an accredited nursing program with 2+ years of pediatric nursing experience.
• Knowledge of healthcare and managed care is preferred.

Responsibilities

• Develop and adjust care plans to promote desired health outcomes.
• Coordinate services among various healthcare providers to meet client needs.

Skills

Care Management

Patient Education

Clinical Assessment

Coordination of Services

Education

Graduate from an Accredited School of Nursing

Bachelor’s degree in Nursing

Tools

Medical Management Systems

Job description

Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.

Responsibilities:

1. Develop, assess and adjust, as necessary, the care plan and promote desired outcomes.
2. Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options.
3. Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio-economic needs of clients.
4. Develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs.
5. Provide patient and provider education.
6. Facilitate member access to community based services.
7. Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan.
8. Actively participate in integrated team care management rounds.
9. Identify related risk management quality concerns and report these scenarios to the appropriate resources.
10. Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems.

Qualifications:

Education/Experience:

1. Graduate from an Accredited School of Nursing.
2. Bachelor’s degree in Nursing preferred.
3. 2+ years of pediatric clinical nursing experience in a clinical, acute care, or community setting.
4. Knowledge of healthcare and managed care preferred.

Licenses/Certifications: Current state’s RN license.

*Work-from-home case management role.

Candidate's must reside in the state of Missouri.

Seniority level

Associate

Employment type

Contract

Job function

Health Care Provider

Industries

Hospitals and Health Care and Insurance