LOOKING FOR SPANISH/BILINGUAL RN's!!!!!!
Job description
DO YOU WANT WORK/LIFE balance??? If you are an RN, have Case Management experience, we invite you to apply! This opportunity does not include bedside support; this is a production/call center environment. MUST BE ONSITE
Qualifications:
Assessment, PRC, RPM Set up, EMR Uploads & Mail, Care Plan Required, Community Resources
This position is responsible for providing case management services to the sponsor health plan members and sponsor providers within the framework of their Annual Case Management Plan.
Principal Duties and Responsibilities:
· Long term services and supports clinical and diagnostic assessments and care planning for members with complex and chronic conditions including performing and arranging for waiver services and personal care assistance
· Refer members to community-based and governmental agencies and organizations for resources to enhance and supplement services for the member. Examples: Community Department of Human Services, Social Security Administration, Community Mental Health, Area Agency on Aging, Local Health Departments, Meals on Wheels and subsidized transportation services.
· Initiates and implements an individual plan of care with attainable goals in conjunction with the member using the principles of person-centered planning, health care providers, and community agencies. Modifies the plan of care through monitoring and re-evaluation to accommodate changes in treatment or progress for all assigned members
· Care coordination contacts include face-to-face, telephonic and virtual interaction with members in their homes, inpatient and outpatient settings, and institutional settings
· Documents the plan of care in accordance with SMM Policies, NCQA guidelines and Medicare and Medicaid Program requirements within the Case Management Program
· Performs on-going evaluation of quality and cost effectiveness of Case Management Services
· Documents care in accordance with SMM Care Management Policies
· Maintains schedules, data, reports and logs as required
Experience:
License/Certification:
Work Location: ONSITE FULLTIME
Salary: $40.00 per hour
Benefits:
Schedule:
Ability to commute/relocate:
Michelle La Vita-McBurrows
Lead Talent Strategist
2489411808
Job Type: Full-time
Salary: $40.00 per hour
Benefits:
Schedule:
Work setting:
Ability to commute/relocate:
Experience:
License/Certification:
Work Location: One location
Job Type: Full-time
Pay: $40.00 per hour
Benefits:
Standard shift:
Weekly schedule:
Ability to commute/relocate:
Experience:
License/Certification:
Work Location: One location
Spanish communication (Required)
RN (Required)
Nursing: 4 years (Preferred)
SALUDOS HISPANOS
(800) 748-6426
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