RN Complex Case Manager-Hybrid Brazil, Indiana; Counties: Greene, Sullivan, Knox, Clay, Vigo

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact. Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day.

Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

The RN Complex Case Manager will provide in-home, in-person care coordination in defined areas of coal mine states and telephonic care coordination across the United States. An integrated case management model assists the Funds team in maintaining beneficiaries at their most optimal functional level. The selected candidate is required to reside within a one-hour drive of Brazil, Indiana, or one of the following Indiana counties:
Greene, Sullivan, Knox, Clay, and Vigo.

• Provide in-home, in-person care coordination and telephonic care coordination as needed.
• Foster an environment that incorporates the Funds' caring philosophy in all aspects of the case management process and coordinates care with the beneficiary and his/her provider to stabilize health status with the goal of maximizing the beneficiary's functional capacity and improving overall quality of life.
• Assess, plan, implement, and evaluate options and services to create an individualized plan for the beneficiary across the continuum of care.
• Coordinate integrated case management and disease management activities based on the CMSA definition and guiding principles.
• Use independent nursing judgment to address, resolve, and process problems impeding diagnostic or treatment progress, including medication set-up, vital signs checks.
• Seek consultation from physicians and other disciplines as necessary to facilitate care.
• Develop beneficiary-centered care plans demonstrating shared accountability between beneficiaries, caregivers, and providers.
• Coordinate health and social services, coach the beneficiary and families, advocate for the beneficiary, educate the beneficiary and family, clarify physician care plans, and communicate status and plans among the care team.
• Visit beneficiaries' homes and hospitals, nursing homes, and physician offices as necessary.
• Review the care plan and progress in regular care conferences, emphasize transitions, and teach self-management to optimize functions, improve health, and prevent decline.
• Ensure processes are conducted in accordance with URAC and other regulatory standards.

The above list of responsibilities is not intended to be all-inclusive. It may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

• Unrestricted, active RN compact state license.
• High School diploma or GED equivalent.
• 3+ years of clinical experience with 1+ years of case management experience.
• Proficiency in Microsoft Office, Internet/Web Navigation, and research.
• Proficiency in the use of electronic medical record systems and navigating multiple computer systems and applications.
• Ability to perform basic physiological assessment without a physician order, including temperature, pulse, blood pressure, weight, and visual skin assessment.

• Bachelor of Science in Nursing (BSN) or higher level of education.
• Public Health Nursing experience and geriatric nursing care.
• Certified Case Manager (CCM).
• Ability to multi-task and prioritize with variable and sometimes conflicting deadlines; superior attention to detail and demonstrated decision-making.
• Demonstrated initiative and judgment in performing job responsibilities while maintaining professionalism, flexibility, and dependability under pressure.
• Strong communication, interpersonal, organizational, time management, and customer service skills.
• Ability to work…