RN Case Manager (CCM required)

CornerStone Medical; Mebane (NC); On-site; USD 99,000 - 121,000; Full time

Job summary

CornerStone Medical in Mebane, NC is seeking an RN Case Manager for a 13-week contract at $55 per hour. Shift is Mon–Fri, 8am–5pm. Mileage reimbursement is $0.41/mile.

Responsibilities include comprehensive assessment of high-risk members and collaboration with primary care to develop individualized care plans with specific interventions. CCM certification is required.

Qualifications

• Associates or Bachelors Degree in Nursing or related field.
• Current, unrestricted state RN license.
• Ability to analyze complex medical information and make rational decisions.
• Case Management certification.
• CCM Required
• Must be able to pass background check, drug screen and have updated immunizations

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.

Education

Nursing degree (AS/BS) or related field

RN License (NC)

CCM Certification

Job description

RN Case Manager need for contract role in Mebane, NC $55/hr, 13 week contract

Shift Requirements: Mon- Friday 8am- 5pm

Benchmark Requirement: 6 patients per day

Mileage reimbursement: $0.41 cents/mile

Counties covered: Orange/Durham/Alamance

Preferred Skills: med surg/critical care skills

Primary 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.

Qualifications

• Associates or Bachelors Degree in Nursing or related field.
• Current, unrestricted state Registered Nurse license.
• Ability to analyze complex medical information and make rational decisions.
• Case Management certification.
• CCM Required
• Must be able to pass background check, drug screen and have updated immunizations