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Care Manager II (RN)
Austin, TX
Job Description
Job Title: Care Manager II (RN)
Job Duration: 06 Months with possible extension
Job Location: Austin, TX 78741
Position Purpose:
Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
* Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
* Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
* Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
* Provide patient and provider education
* Facilitate member access to community based services
* Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
* Actively participate in integrated team care management rounds
* Identify related risk management quality concerns and report these scenarios to the appropriate resources.
* Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience
* Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
* Direct care to participating network providers
* Perform duties independently, demonstrating advanced understanding of complex care management principles.
* Participate in case management committees and work on special projects related to case management as needed
* For New Hampshire, Massachusetts, & Michigan Complete Health - home visits required
Education/Experience:
Graduate from an Accredited School of Nursing.
Bachelor's degree in Nursing preferred. 2+ years of clinical nursing or case management experience in clinical, acute care, managed care or community settings.
2+ years experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment.
Experience with medical decision support tools (i.e. Interqual, NCCN) and government-sponsored managed care programs.
Other state-specific requirements may apply.
Licenses/Certifications: Current state's RN license.
SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at nahr@spectraforce.com if you require reasonable accommodation.
Job Duration: 06 Months with possible extension
Job Location: Austin, TX 78741
Position Purpose:
Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.
* Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
* Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
* Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
* Provide patient and provider education
* Facilitate member access to community based services
* Monitor referrals made to community based organizations, medical care and other services to support the members' overall care management plan
* Actively participate in integrated team care management rounds
* Identify related risk management quality concerns and report these scenarios to the appropriate resources.
* Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience
* Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems
* Direct care to participating network providers
* Perform duties independently, demonstrating advanced understanding of complex care management principles.
* Participate in case management committees and work on special projects related to case management as needed
* For New Hampshire, Massachusetts, & Michigan Complete Health - home visits required
Education/Experience:
Graduate from an Accredited School of Nursing.
Bachelor's degree in Nursing preferred. 2+ years of clinical nursing or case management experience in clinical, acute care, managed care or community settings.
2+ years experience working with people with disabilities and vulnerable populations who have chronic or complex conditions in a managed care environment.
Experience with medical decision support tools (i.e. Interqual, NCCN) and government-sponsored managed care programs.
Other state-specific requirements may apply.
Licenses/Certifications: Current state's RN license.
SPECTRAFORCE is an equal opportunity employer and does not discriminate against any employee or applicant for employment because of race, religion, color, sex, national origin, age, sexual orientation, gender identity, genetic information, disability or veteran status, or any other category protected by applicable federal, state, or local laws. Please contact Human Resources at nahr@spectraforce.com if you require reasonable accommodation.
Job Summary
Company
Start Date
As soon as possible
Employment Term and Type
Regular, Full Time
Required Experience
2+ years
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