Location: MINNEAPOLIS, MN, USA

Salary: $36.00 USD Hourly - $39.00 USD Hourly

Description: One of our largest clients has openings for REMOTE Case Manager RNs to join their team!

Please send your updated resume to ASorber@judge.com for immediate consideration.

Shift: Mon-Fri, 9am-5:30pm CST

This Job Will Have The Following Responsibilities

• Perform telephonic care management consultations with members, promoting high quality, evidence-based practice recommendations.
• Ensure member has scheduled appointment with Primary Care Provider (PCP)/specialty provider; help scheduling appointment, if needed.
• Refer members to internal departments such as Social Work or Pharmacy, when appropriate.
• Gather clinical information telephonically from patient/family.
• Assess patients/members for urgent needs requiring acute intervention.
• Identify triggers for hospitalization and barriers to meeting healthcare goals
• Completing care management assessments of members past medical history, disease states, and medications.
• Provide patient/family education on disease process and trigger management
• Collaborate with patient to develop self-management goal and monitors progress towards meeting the goal
• Assist with connections to appropriate community resources
• Utilize patient trigger in the development of patient-centric plan of care, which directs the focus of Primary Care Provider (PCP) visits and Nurse Care Manager (NCM) calls
• Collaborate and coordinate with PCP, Caregivers, Care Manager Assistants (CMA), health plan case managers/service coordinators and other healthcare professionals to meet the specific needs of the patient
• Participate in case conferences and interdisciplinary care team meetings as required
• Process orders from Primary Visiting Provider
• Document all communications, consults and efforts in appropriate internal databases/systems according to established procedures.
• Understand and maintain confidentiality of legal and ethical issues.
• Maintains compliance with all HIPAA (Health Insurance Portability and Accountability Act) regulations.
• Enhance the experience of both internal and external customers by providing excellent customer service.
• Serving as a clinical resource and consultant for other clinicians.
• Attend and participate in team huddles and staff meetings.
• Working with Supervisor to identify system improvements that could be made to drive operational advancements and efficiencies.
• Provide cross-coverage support across the team and assist with special projects, as needed.
• Assume other duties as assigned and directed by the Supervisor or Manager of Clinical Call Center Operations.
  
  

Qualifications & Requirements

• Current, unrestricted Compact RN (Registered Nurse) license.
• 3+ years of clinical experience in a hospital, acute care, home health/hospice, direct care, or case management position.
• Computer/typing proficiency to enter and retrieve data in electronic clinical records.
• Proficient with Microsoft Word, Outlook, and Excel.
• Strong problem-solving skills
• Ability to communicate complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others.
• Ability to perform positively and efficiently in production driven environment
  
  

Preferred Qualifications

• Case Management experience.
• Home care/field-based case management or telephonic case management experience.
• Medicaid, Medicare, or Managed Care experience.
• Bilingual skills
  
  

Audrey Sorber

National Healthcare Recruiter

ASorber@judge.com

Contact: asorber@judge.com

This job and many more are available through The Judge Group. Find us on the web at (link removed)