RN Case Manager: Geriatric Care & Care Coordination

American Health Partners; Ashland (KY); On-site; USD 68,000 - 82,000; Full time

Benefits offered by this job

Annual performance wage increases

401k retirement plan with a company.5m

Medical, dental and vision insurance

$50,000 basic life insurance – paid by

Job summary

American Health Partners in Ashland, KY seeks an RN Case Manager to lead care coordination for Medicare Advantage members. You will visit patients in person or by telehealth, collaborate with physicians, and develop care plans with an interdisciplinary team.

The role demands a self-motivated team player with strong communication and presentation skills, able to manage multiple priorities and adapt quickly to change while ensuring high-quality patient care.

Qualifications

• Minimum of 2 years of experience in clinical nursing or rehabilitation for the geriatric population.
• 2-years managed care experience required.
• Minimum of 3-5 years’ experience doing case management in a managed care environment preferably with a managed care organization or like facility, Preferred.

Responsibilities

• Complete Health Risk Assessments for members as assigned.
• Initiate, update and/or revise care plans as needed.
• Maintain a case load of patient as assigned.
• Evaluates, coordinates, and plans patient care in collaboration with an interdisciplinary health team; reassesses and revises plans of care in collaboration with other members of the health care team.
• Provides patient/family education based on identified learning needs utilizing available teaching resources
• Coordinates outpatient discharge planning based on patient needs, clinical circumstances and benefit coverage.
• Participates in all Managed Care related audits; generates, maintains and tracks periodic and annual reports/documents via MS Office program, e-mails to support Care Coordination program.
• Performs improvement projects involving development of monitoring/collection tools, review of medical records, data entry, analysis, and preparation of audit findings and reports.
• Participates in patient care conferences, committee meetings, staff development and educational programs to increase or maintain professional competency.
• Correctly applies medical management criteria.
• Researches clinical questions from employers, members and payers as required.
• Educate members on health access options.
• Responds, manages, and resolves day-to-day problems presented in care coordination and communicates effectively with the Facility/Home.
• Other duties as assigned.

Skills

Communication skills

Teamwork

Self-motivation

Adaptability

Education

RN program graduate

Bachelor’s degree preferred

Tools

MS Office

Job description

American Health Partners in Ashland, KY seeks an RN Case Manager to lead care coordination for Medicare Advantage members. You will visit patients in person or by telehealth, collaborate with physicians, and develop care plans with an interdisciplinary team.

The role demands a self-motivated team player with strong communication and presentation skills, able to manage multiple priorities and adapt quickly to change while ensuring high-quality patient care.