RN Case Manager: Geriatric Care & Care Coordination

TruHealth; Missouri; On-site; USD 75,000 - 98,000; Full time

Benefits offered by this job

Annual wage increases

401k retirement plan with companymatch

Medical, dental and vision insurance

$50,000 basic life insurance – paid by

Paid time off

UKG Wallet – access your pay faster!

Holiday pay

Telehealth through 98point6 – free to

Continuing Education opportunities

Job summary

TruHealth is seeking an RN Case Manager to lead care coordination for Medicare Advantage members. You will visit patients in person and by phone, review claims, and collaborate with the health care team to plan, implement and evaluate patient care.

You must be a self-starter and team player with strong communication skills, capable of managing multiple priorities with minimal supervision and adapting quickly to change.

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 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

RN

Case Management

Geriatric care

Managed care

Education

RN license

Bachelor's degree preferred

Job description

TruHealth is seeking an RN Case Manager to lead care coordination for Medicare Advantage members. You will visit patients in person and by phone, review claims, and collaborate with the health care team to plan, implement and evaluate patient care.

You must be a self-starter and team player with strong communication skills, capable of managing multiple priorities with minimal supervision and adapting quickly to change.