Nurse Case Manager - (US-MD-Baltimore - 21298)

Minimum Education: None
Job Type: Full Time
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Responsibilities : The Nurse Case Manager, Patient Engagement Program, works face to face with the member, the member family and providers involved in the member care to coordinate the services necessary to help reduce preventable hospitalizations. The CM is responsible for developing a plan of care for the member in conjunction with PEP social workers, and the members PCP and specialists. The CM will have a primary role in actuating the Plan of Care. This will involve working with the member to close clinical and pharmacy care gaps, mitigating non-clinical barriers to care, and facilitating the coordination of benefits as required. The CM will act as a liaison between the member, community-based resources, and health care providers and institutions. The CM must understand, support, and promote the mission statement, objectives, and procedures of the Patient Engagement Program..Essential Duties and :Provides field-based Case Management services to assigned membersEffectively utilizes tools, systems, and documentation processes for all activities.Develops an individualized plan of care and implements the plan per established policies.

Requirements :Registered Nurse with 3-5 years related experience and/or training in Case Management,Social work training, licensure is highly desirableMedicare experience a plusExperience with geriatric populationsExperience with community resource organizationsExperience handling confidential health care information and with care management software applicationsExperience with / exposure to the case management of transplant candidates and recipientsKnowledge, Skills, Abilities :Excellent interpersonal and communications skillsAbility to meet deadlines and manage multiple priorities, and effectively adapt and respond to complex, fast-paced, rapidly growing, and results-oriented environmentsAbility to make decisions on what needs to be done based on clearly established guidelinesAble to work in a dynamic, fast-paced team environment and to promote team conceptsSpanish language ability is desirableKnowledge of Microsoft Office including Outlook, Excel and Word.

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