RN Case Manager: Care Coordination & Patient Advocacy

American Health Partners

United States

On-site

USD 65,000 - 90,000

Full time

7 days ago
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Benefits offered by this job

Annual performance wage increases
401k with company match
Medical, dental and vision insurance
Life insurance – $50,000
Paid time off
Telehealth access
Continuing Education opportunities
Career advancement opportunities
Holiday pay

Job summary

American Health Partners is seeking an RN Case Manager to oversee care coordination for members enrolled in a Medicare Advantage plan. This role involves in-person and telephonic patient visits, collaborating with physicians to address claims issues, and coordinating with a healthcare team to plan, implement, and evaluate patient care plans.

The ideal candidate will be a self-starter and team player with strong communication and presentation skills, capable of managing multiple priorities with

Qualifications

  • Graduate of an accredited RN program.
  • Bachelor's degree preferred.
  • Current RN license in the assigned state.
  • CCM certification preferred.
  • CPR for Healthcare Professionals.

Responsibilities

  • Complete Health Risk Assessments for assigned members.
  • Initiate and revise care plans as needed.
  • Maintain an assigned caseload and coordinate with the health team.
  • Educate patients and families using available teaching resources.
  • Coordinate outpatient discharge planning based on patient needs.
  • Participate in audits and prepare reports using MS Office.

Skills

Self-starter
Team player
Communication
Presentation
Adaptability
Collaboration

Education

RN program graduate
Bachelor's preferred

Tools

MS Office

Job description

American Health Partners is seeking an RN Case Manager to oversee care coordination for members enrolled in a Medicare Advantage plan. This role involves in-person and telephonic patient visits, collaborating with physicians to address claims issues, and coordinating with a healthcare team to plan, implement, and evaluate patient care plans.

The ideal candidate will be a self-starter and team player with strong communication and presentation skills, capable of managing multiple priorities with

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