Field RN Case Manager

Job Description

Job Title:
Field Registered Nurse Case Manager

Employment: Long Term Contract

Shift: 8:00-5:00 pm M-F

Start Date: ASAP

Location: Dayton, Ohio

ABOUT THE POSITION:

• Will be working with Medicare Members with complex medical or behavioral health conditions or who are at high risk.
• Will be traveling 60%-70% of time; the remaining time will be spent in the field, rest of the time they will be working remote.
• Candidates will be traveling to members’ homes to assess and create care plans
• Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical providers as necessary to meet the complete psychological, social, and medical needs of members

• Perform collaborative duties to assess, plan and coordinate continuum of care for select members with complex medical or behavioral health conditions or are at high risk in order to promote quality, cost effective care.
• Advanced review of admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care.
• Develop, assess and adjust as necessary the care plan and promote desired outcome.
• Coordinate services between Primary Care Physician (PCP) specialist, and other medical and non-medical providers as necessary to meet the complete medical socio economic needs of clients. Participate in face to face visits with high risk members at point of service as needed. For BCHP only, participate in face to face visits with high risk members at point of service.
• Provide patient and provider education.
• Identify related risk management quality concerns and report these scenarios to the appropriate resources.
• Data enters assessments and authorizations into the system.

• 5+ years of clinical nursing if no Case Management Experience
• Or 3 years clinical if have case management experience. Looking for at least 2 years CM
• 2+ years of related experience in managed care environment. (Medicare Experience) Preferred

Are you an experienced Registered Nurse looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career In Nursing by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the RN position for you!

If you are interested, reach out to me at .

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