RN Case Manager: Care Coordination & TOC (Durham, NC)

Pyramid, Inc; Durham (NC); On-site; USD 83,000 - 84,000; Full time

Benefits offered by this job

Health insurance

401(k) plan

Paid sick leave

Job summary

Pyramid Consulting, Inc. is assisting in placing an RN-Case Manager for a 06+ months contract in Durham, NC (onsite). The role requires coordinating care for D-SNP members, conducting comprehensive assessments, and developing member-centric care plans.

You'll work within a multidisciplinary team to manage transition of care, support quality initiatives, and ensure CMS compliance while documenting interactions and outcomes in designated systems.

Qualifications

• Must have experience coordinating care in D-SNP settings.
• Experience with CMS regulations and HRAs/ICP documentation.
• Ability to work in a multidisciplinary care team.

Responsibilities

• Serve as a member of a multidisciplinary care team supporting D-SNP members through care coordination, transition management, member engagement, and quality improvement activities.
• Conduct comprehensive clinical, psychosocial, functional, and SDOH assessments to identify member needs, barriers to care, and opportunities for intervention.
• Manage Transition of Care activities after discharge from various care settings, including outreach to assess needs and coordinate follow-up care.
• Develop, implement, and maintain individualized care plans addressing medical, behavioral, functional, social, and preventive needs.
• Proactive outbound outreach to close gaps in care related to CMS measures and preventive care.

Skills

Care coordination

Health risk assessment

Interdisciplinary care team

Job description

Pyramid Consulting, Inc. is assisting in placing an RN-Case Manager for a 06+ months contract in Durham, NC (onsite). The role requires coordinating care for D-SNP members, conducting comprehensive assessments, and developing member-centric care plans.

You'll work within a multidisciplinary team to manage transition of care, support quality initiatives, and ensure CMS compliance while documenting interactions and outcomes in designated systems.