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Registered Nurse RN Case Manager Telephonic

Company: Maxim Government Services
Location: Raleigh
Posted on: May 25, 2019

Job Description:

Case Management opening in Raleigh, North Carolina. This and other rn jobs brought to you by NursingJobCafe.com Maxim Healthcare Services currently has an opening for a Field Care Manager RN to work for a health care company in Raleigh, NC. ***This is a Direct Placement position*** so you will be hired directly by the client

  • A Fortune 200 Company
  • Voted World's Most Admired Company
  • Focuses exclusively on government-sponsored healthcare programs
  • Full benefits available including 401k with company match and tuition reimbursement
  • Paid time off starting with 18 days.
  • Competitive Salary Job summary: Coordinates the care and services of selected member populations across the continuum of illness. Promotes effective utilization and monitors health care resources. Assumes a leadership role within the interdisciplinary team to achieve optimal clinical and resource outcomes. Works with the Supervisor / Manager of Case Management to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the health of the Member. Key Duties and Responsibilities:
    • In conjunction with the PCP and member, completes a comprehensive assessment and develops a care plan utilizing clinical expertise to evaluate the member's need for alternative services. Assess short-term and long-term needs and establishes case management objectives.
    • Manages 60 to 80 active cases based on case intensity and acuity. Specialty Case Manager case loads may vary.
    • Interacts continuously with member, family, physician(s) and other providers utilizing clinical knowledge and expertise to determine medical history and current status. Assess the options for care including use of benefits and community resources to update the care plan.
    • Acts as liaison and member advocate between the member/family, physician and facilities/agencies.
    • Maintains accurate records of case management activities in the EMMA System using clinical guidelines.
    • Coordinates community resources with emphasis on medical, behavioral and social services. Applies case management standards and maintains HIPAA standards and confidentiality of protected health information. Reports critical incidents and information regarding quality of care issues.
    • Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
    • Schedules or facilitates scheduling appointments and follow-up services
    • Requests consultation and diagnostic reports from network specialists.
    • Contacts members to remind them about upcoming appointments and/or missed appointments.
    • Participates in monthly chart audits.
    • Performs special projects as assigned.Requirements:
      • Licensed Registered Nurse (RN)2+ years of experience in clinical acute care position (s), preferably in home health, physician's office or public health
        • 1+ year of experience in current case management experience
        • 1+ year of managed care experience For immediate consideration, please forward an updated copy of your resume to Leonard Badham @ You can reach me direct at (office) or (mobile). Keyphrases: medical case management jobs, case manager jobs, case manager consultant jobs, case management consultant jobs, geriatric case management jobs, case management nursing jobs, nurse case manager jobs

Keywords: Maxim Government Services, Cary , Registered Nurse RN Case Manager Telephonic, Healthcare , Raleigh, North Carolina

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