Nurse Care Manager (RN) Work from Home

Company: The Career Hut
Location: Anaheim
Posted on: September 2, 2020

Job Description:

Job Description This position will be working from home. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member s overall wellness. Fundamental Components included but are not limited to: Fundamental Components Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member s overall wellness. Uses clinical tools and information/data review to conduct an evaluation of member's needs and benefits. Applies clinical judgment to incorporate strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning. Conducts assessments that consider information from various sources, such as claims, to address all conditions including co-morbid and multiple diagnoses that impact functionality. Uses a holistic approach to assess the need for a referral to clinical resources and other interdisciplinary team members. Collaborates with supervisor and other key stakeholders in the member s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences Utilizes case management processes in compliance with regulatory and company policies and procedures. Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversation. Background Experience Minimum 3-5 years clinical practical experience Minimum 2-3 years CM, discharge planning and/or home health care coordination experience Confidence working at home/independent thinker, using tools to collaborate and connect with teams virtually

Keywords: The Career Hut, Anaheim , Nurse Care Manager (RN) Work from Home, Executive , Anaheim, California