RN Case Management - Full-time / Part-time

Care Manager RN - 6 month contract to hire

South Kansas City, MO - Near Leawood

Job Description

The Care Manager RNs will be interacting with patients over the phone and in rare instances face-to-face alongside the provider to document. They will essentially be matching the patient needs with the appropriate services, which are approved by the providers. Maintain and update patient records.

Priority of work:

60% patient phone calls;

• Collect patient medical records
• Determine list of possible services that might be called for (Doctor consults care manager on patient records and makes his/her decision on appropriate service)
• Ensure delivery of care in quality, efficient, and cost-effective health care services
• Coordination of health services, scheduling
• Monitoring and evaluating potential options, given to provider
• Follow protocols for individualized care plans
• Manages caseload of patients and provides targeted interventions to avoid hospitalization and ER visits
• Educates patients/families on health care options

40% administrative duties;

• chart audits ("gap reporting") for payers/insurance, providing them any possible missing data
• scheduling annual wellness visits
• attribution lists (list of brand new patients for provider from the payer)
• pre-visit chart planning
• quality measures ("we're missing a colonoscopy or fall risk assessment", lets provider know what needs to be checked off the list at their visit)

Shift/Hours:

• 8a-4:30p, but the shift is negotiable after starting, between the contractor, providers and practice manager (could look like a 7-4 shift if the provider would be in)

Qualifications

• MO Registered Nursing license
• 3 years' experience in the last 5 years in either primary care or home health care setting. They recently hired an RN from an overnight float pool from a hospital, and she made up for her lack in the same environment with being able to pick things up quickly, so they are open to that as well.

Computer literacy; proficient in Microsoft Office Suite (specifically spreadsheets and outlook) and internet use ("gap reporting" is done in payer portals online) - I will be testing candidates on these qualifications.

Start Date:

• ASAP (as soon as background clears, checking to see if could start pending)

Pay - $60k-$65k/year

About Aerotek:

We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing® Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.

Aerotek is acting as an Employment Agency in relation to this vacancy.