RN Complex Care Manager: Care Coordination Leader

Vitruvian Health; Dalton, Northern (GA, KY); Hybrid; USD 65,000 - 85,000; Full time

Benefits offered by this job

403(b) matching

Dental insurance

Employee assistance program

Employee wellness program

Employer paid Life and AD&D

Employer paid Short and Long-Term Dis

Flexible Spending Accounts

ICHRA for health insurance

Paid Annual Leave

Vision insurance

Job summary

Vitruvian Health is seeking a Complex Case Manager RN in Georgia to lead care coordination and ensure optimal patient outcomes. You will assess, plan, advocate, and monitor care in collaboration with the healthcare team and family, guiding transitions to lower levels of care and coordinating resources to control costs.

You will work with InterQual criteria, support discharge planning, and participate in program development for disease management initiatives while maintaining strong relationships

Qualifications

• Graduate of an accredited School of Nursing.
• Current RN license in Georgia; BSN preferred.
• BLS CPR required.
• 3-5 years nursing experience; 2 years in clinical care; utilization review and case management preferred.
• Experience with Medicare/Medicaid and third-party reimbursement policies.

Responsibilities

• Assess, plan, advocate, monitor and evaluate patient care per standards.
• Coordinate admission/discharge planning and transition to home health/DME.
• Collaborate with UM team and Physician Advisor.
• Identify long-stay patients and coordinate care with multidisciplinary team.
• Provide 1:1 and group teaching.
• Assist in program development and implementation for care management initiatives.

Skills

Nursing experience

Case management

Interpersonal skills

Conflict resolution

Teaching ability

Medicare knowledge

IT/computer skills

Team collaboration

Documentation

Education

RN licensure

BSN preferred

Tools

Computer skills

Job description

Vitruvian Health is seeking a Complex Case Manager RN in Georgia to lead care coordination and ensure optimal patient outcomes. You will assess, plan, advocate, and monitor care in collaboration with the healthcare team and family, guiding transitions to lower levels of care and coordinating resources to control costs.

You will work with InterQual criteria, support discharge planning, and participate in program development for disease management initiatives while maintaining strong relationships