Clinical Case Manager, RN
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Job Description
Clinical Case Manager, RN at CareMore Health providing quality, cost-effective care for members. Collaborating in patient care processes and implementing comprehensive clinical management plans.
Responsibilities:
- Collaborates in a patient care process to assess, plan, facilitate, coordinate, monitor, and evaluate options and services to meet member's health needs.
- Supports member or their representative in regard to care, care transitions, and changes in health status.
- Implements a comprehensive clinical case management plan for each patient.
- Obtains input from providers, patient, and family as appropriate, and evaluates and revises the plan as needed.
- Analyzes patient variances from the plan and initiates the appropriate steps to resolve variances.
- Performs admission and concurrent stay reviews on hospitalized patients.
- Develops and implements discharge planning for patients in conjunction with hospital based case managers.
- Performs telephonic, fax and/or on-site reviews with skilled nursing facilities, home health agencies or other contracted service agencies to determine need for continued care.
Requirements:
- Requires a RN and minimum of 2 years of experience; or any combination of education and experience, which would provide an equivalent background.
- Current unrestricted RN NV license in applicable state(s) required.
- Satisfactory completion of a Tuberculosis test is a requirement for this position.
- Bilingual in either Spanish or Vietnamese is preferred.
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