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Registered Nurse - Nurse Care Manager / Case Manager
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Salt Lake City, UT Salt Lake City, Utah |
About this job
The Nurse Care Manager is responsible for the assessment, reassessment, care planning and coordination of care and services. Includes ongoing monitoring of an appropriate and effective person centered care plan, member education and care management. Regularly communicates with the member's PCP and other providers, and integrates the member, caregiver and other provider feedback into the assessment and planning.
ESSENTIAL FUNCTIONS:
- Provides disease education and disease management tools to members.
- Ensures quality, cost-effective care in the appropriate setting and level of care.
- Assesses, plans and implements discharge medications of participants.
- Utilizes motivation improvement techniques to empower members to actively manage their health.
- Identifies and prioritizes the member's needs and preferences. Develops quantifiable goals and desired outcomes, and promotes the member's ability to self-manage to the greatest extent possible.
- Manages case load, including risk stratification of members, monitoring reassessment needs and facilitating transitions of care settings.
- Serves as the primary point of member contact. Assesses member needs, manages care and services, and ensures effective communication among members, caregivers, providers and community supports.
- As the lead of the interdisciplinary team, facilitates the activities and communication within an interdisciplinary team of providers, vendors, facilities, discharge planners, field nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings.
- Maintains timely, complete and accurate documentation using both hard copy and technology based solutions in compliance with regulatory policies and procedures.
- Gathers and summarizes data for reports.
- All other Nurse Care Manager duties as assigned.
ESSENTIAL FUNCTIONS:
- Provides disease education and disease management tools to members.
- Ensures quality, cost-effective care in the appropriate setting and level of care.
- Assesses, plans and implements discharge medications of participants.
- Utilizes motivation improvement techniques to empower members to actively manage their health.
- Identifies and prioritizes the member's needs and preferences. Develops quantifiable goals and desired outcomes, and promotes the member's ability to self-manage to the greatest extent possible.
- Manages case load, including risk stratification of members, monitoring reassessment needs and facilitating transitions of care settings.
- Serves as the primary point of member contact. Assesses member needs, manages care and services, and ensures effective communication among members, caregivers, providers and community supports.
- As the lead of the interdisciplinary team, facilitates the activities and communication within an interdisciplinary team of providers, vendors, facilities, discharge planners, field nurses, social workers, care coordinators, and member/caregivers to effectively manage care plans and transitions of care settings.
- Maintains timely, complete and accurate documentation using both hard copy and technology based solutions in compliance with regulatory policies and procedures.
- Gathers and summarizes data for reports.
- All other Nurse Care Manager duties as assigned.
General Job Information
Title
Registered Nurse - Nurse Care Manager / Case ManagerGrade
23Job Family
Care ManagementCountry
United States of AmericaFLSA Status
United States of America (Exempt)Recruiting Start Date
2/7/2017Date Requisition Created
2/7/2017Minimum Qualifications
Education
Associates, BachelorsLicense and Certifications
RN - Registered Nurse, State and/or Compact State Licensure - Care MgmtOther Job Requirements
Responsibilities
Home Care, Long-Term Care, MLTC experience preferred, including appropriate support services in the community and accessing and using durable medical equipment (DME). Experience in utilization review, concurrent review and/or risk management a plus. Bi or multilingual ability preferred., Minimum 3 years clinical experience with focus in managed care, including disease or case management., Understands and is able to apply principals of Care Management and Person Centered Service Planning. Familiar with clinical needs and disease processes for chronic physical and behavioral illnesses. Understands and adapts appropriately to issues related to communication, cognitive or other barriers. Strong organizational skills and the ability to prioritize and follow through on multiple projects in a timely manner.Competencies
Language(s)
Magellan Health Services is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled
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