RN Case Manager

TCI Technology Consulting Inc; Ashland (KY); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

mileage reimbursement

Job summary

TCI Technology Consulting Inc. is seeking a compassionate Registered Nurse (RN) Case Manager to coordinate patient care and develop individualized plans for high-risk members in Ashland, KY.

The role is contract-to-hire and on-site, requiring a valid RN license and Case Management Certification. The ideal candidate will have hospice experience and home health knowledge, strong assessment and organizational skills, and the ability to collaborate with interdisciplinary teams while navigating

Qualifications

• Active, unrestricted RN license; KY license or Compact accepted.
• Case Management Certification.
• Hospice experience required; home health experience a plus.
• Associates or Bachelor's degree in Nursing.
• Strong assessment and care coordination skills.
• Ability to collaborate with patients, families, providers, and teams.
• Proficiency with EMR and standard computer applications.

Responsibilities

• Perform comprehensive assessment of high-risk members.
• Coordinate with primary care providers to implement an individualized care plan.
• Identify and reassess appropriate levels of care for cost efficiency.
• Arrange non-medical supports to ensure adherence to treatment plans.
• Coordinate care transitions as needed.
• Collaborate with physicians, social workers, discharge planners, and claims professionals.
• Engage specialty resources to achieve optimal outcomes.
• Maintain detailed records of clinical, functional, and fiscal outcomes.
• Identify opportunities for health promotion and illness prevention.
• Act as patient advocate and protect privacy.
• Manage on-site operations in Ashland, KY.

Skills

Care coordination

Assessment

Communication

Organizational skills

Education

Associate or Bachelor in Nursing

Tools

EMR proficiency

Job description

TCI has an immediate need for a Home Health RN Case Manager in Ashland, KY. This is a contract-to-hire opportunity.

Note: This position requires US Citizenship and work is performed on-site.

SUMMARY

We are seeking a compassionate and organized Registered Nurse (RN) Case Manager to coordinate patient care, assess needs, develop individualized care plans, and collaborate with patients, families, providers, and interdisciplinary teams. The ideal candidate will have strong clinical judgment, communication, and care coordination skills, with a commitment to delivering high-quality, patient-centered outcomes.

RESPONSIBILITIES

• Perform comprehensive assessment of high-risk members.
• Collaborate with primary care providers to ensure the implementation of an individualized, comprehensive care plan with specific interventions designed to engage the member.
• Address, identify, and continuously reassess cost-efficient, appropriate levels of care.
• Put non-medical support in place to ensure compliance with treatment plans (such as housing and transportation).
• Coordinate care transitions as needed.
• Coordinate with physicians, social workers, discharge planners, and claims professionals in transitioning patient to appropriate level of care.
• Engage specialty resources as needed to achieve optimal resolution.
• Keep detailed records of clinical, functional, and fiscal outcomes during the management process.
• Identify opportunities for health promotion and illness prevention.
• Prevent adverse patient occurrences when possible and intervene quickly if prevention is not possible, thereby minimizing poor outcomes.
• Act as patient advocate by protecting privacy and confidentiality issues.

REQUIREMENTS

• Active, unrestricted RN license. KY License or Compact Licenses accepted.
• Case Management Certification.
• Associate or Bachelor’s degree in Nursing.
• Hospice experience is a must and home care home base experience is a plus.
• Clinical nursing experience; case management experience preferred.Ability to analyze complex medical information and make rational decisions
• Strong assessment, care coordination, communication, and organizational skills.
• Ability to collaborate effectively with patients, families, providers, and interdisciplinary teams.
• Knowledge of care planning, documentation, and healthcare resources.
• Proficiency with electronic medical records and standard computer applications.
• Home Health care provided in counties of Boyd, Carter, Greenup, Elliott, Lawrence.
• Work schedule is 8am-5pm M-F; on-call rotation for weekends; milage reimbursement provided.