Nurse Care Manager – Katie Beckett
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Job Description
Nurse Care Manager coordinating complex pediatric care, assessments, and Medicaid services for Tennessee’s Katie Beckett program. Conducting home visits and supporting families across designated Middle-South Tennessee counties.
Responsibilities:
- Manage a caseload of multiple complex pediatric member needs
- Conduct member visits, including home visits, within contract timelines
- Perform new member visits and ongoing assessments
- Develop and maintain Person Centered Support Plans
- Collaborate with private insurance and Medicaid to coordinate care and ensure appropriate coverage
- Support utilization management functions for complex and non-routine cases
- Serve as a liaison between members, providers, and internal/external customers
- Oversee highly complex cases and implement interventions for efficient benefits utilization
- Perform case management activities including assessment, planning, implementation, coordination, monitoring, outcomes, and evaluation
- Provide effective communication via digital channels and technical support
- Assess child development and milestones and provide resources for identified deficiencies
- Identify goals and challenges through person- and family-centered planning
- Identify needed home and community-based services
- Coordinate additional Medicaid medical and behavioral health benefits
Requirements:
- Pediatric experience
- Strong communication and organizational skills
- Attention to detail
- Flexibility and adaptability
- Willingness to travel for face-to-face meetings with members
- Active Registered Nurse (RN) license in Tennessee, or a license in the state of residence if participating in the Nurse Licensure Compact
- 3 years of clinical experience required
- 5 years of experience in the health care industry
- For Select Community & Katie Beckett: 2 years of experience in IDD required
- Excellent oral and written communication skills
- Basic Microsoft Office and email skills
- Pediatric experience, preferably from an acute care setting
- Clinical expertise caring for medically fragile children with complex medical and/or behavioral health needs
- Ability to assess child development and milestones
- Valid driver's license, compliant auto insurance, and acceptable motor vehicle record if routinely operating a vehicle for company business
- Ability to complete a digital literacy assessment
- 18-month commitment before posting for other internal positions
Benefits:
- Employee position
- Various immunizations and/or associated medical tests may be required for this position
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