Mphc Case Jobs in Usa
4,101 positions found — Page 17
As the Registered Nurse Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying.
Primary Responsibilities:
* Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral
* Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days
* Initiates and coordinates the plan of care
* Documents problems, appropriate goals, interventions, and patient/family response to hospice care
* Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily
* Instructs and supervises the patient/family in self-care techniques when appropriate
* Maintains accurate and relevant clinical notes regarding the patient's condition
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current and unrestricted RN licensure in the state of practice
* 1+ years of clinical experience
* Current CPR Certification
* Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
#LHCJobs
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
As the Registered Nurse Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying.
Primary Responsibilities:
* Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral
* Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days
* Initiates and coordinates the plan of care
* Documents problems, appropriate goals, interventions, and patient/family response to hospice care
* Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily
* Instructs and supervises the patient/family in self-care techniques when appropriate
* Maintains accurate and relevant clinical notes regarding the patient's condition
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current and unrestricted RN licensure in the state of practice
* 1+ years of clinical experience
* Current CPR Certification
* Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
Preferred Qualifications:
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range fro m $58,800 to $105,000 annual ly based on full-time employment. We comply with all minimum wage laws as applicable.
#LHCJobs
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
McKesson is an impact-driven, Fortune 10 company that touches virtually every aspect of healthcare. We are known for delivering insights, products, and services that make quality care more accessible and affordable. Here, we focus on the health, happiness, and well-being of you and those we serve – we care.
What you do at McKesson matters. We foster a culture where you can grow, make an impact, and are empowered to bring new ideas. Together, we thrive as we shape the future of health for patients, our communities, and our people. If you want to be part of tomorrow’s health today, we want to hear from you.
A Clinical Case Educator requires the credentials of a Registered Nurse. In this role, a registered nurse is passionate and is committed to provide a high level of patient care and counseling patients enrolled in the Medication Therapy Program. The ideal candidate has great communication skills, problem solving skills, and must be self-motivated. This person will be driven to help team members to achieve the mission of providing high level of care to patients. This position is a telehealth position. The nurse will report adverse events and provide clinical interventions to the patient based on assessed need.
Must reside within a commutable distance of Cary, NC or Fort Worth, TX.
Shift Information
Cary, NC – Monday-Friday from 9am-6pm EST and one night per week rotating to work 11-8pm.
Fort Worth, TX - Monday-Friday from 8am-5pm CST and one night per week rotating to work 10-9pm.
The nurses are required to report to the office twice a week.
One rotating Saturday.
Key Responsibilities
Counsel and educate new/existing patients on specialty drug therapies.
Adherence to contracted and accrediting regulations as indicated by drug specification.
Complete, thorough, and accurate documentation utilizing good documentation practice and compliance to industry standards and regulations.
Discuss potential/current side effects with patients to educate about treatment alternatives and facilitate ongoing therapy adherence.
Identify and report adverse events (AEs) and product complaints (PCs) to the manufacturer, FDA, and/or other governing authorities.
Specialty drug verification and education. Provider/patient conduit to support therapeutic longevity.
Adherence to patient management programs through call cadence schedules, medication management programing, drug counseling and provider collaboration.
Maintenance of patient demographic records, medical history, and records in accordance with federal HIPAA standards.
Collaboration with Pharmacy Support teams to ensure timely and accurate delivery of specialty drugs.
Minimum Requirement
Degree or equivalent and typically requires 4+ of relevant experience or a combination of education and experience.
Active RN license in NC/TX.
Education
Associates, Bachelor or higher degree in Nursing or accredited nursing diploma.
Critical Skills
4+ years of nursing experience with at least 1 year of acute.
Experience in Oncology or other specialties.
Registered Nurse with current unrestricted compact state license or primary NC licensure. TX RN license is required for residents of TX.
Ability to obtain licensing in all states and United States territories serviced within 3 months of employment through Biologics supported programming (minimal application guidelines apply.)
Computer skills, including e-mail, word processing, spreadsheet and web-based programs.
Effective orally and in writing communication, experience with motivational interviewing preferably.
Ability to read, analyze and interpret practice standards, professional journals, technical procedures and government standards and regulations.
PTO Blackout Dates – around Thanksgiving, Christmas, and New Years holidays.
Physical Requirements
Large percent of time performing computer-based work is required.
Hybrid position-Office days required.
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please click here.
Our Base Pay Range for this position
$31.00 - $51.66McKesson has become aware of online recruiting-related scams in which individuals who are not affiliated with or authorized by McKesson are using McKesson’s (or affiliated entities, like CoverMyMeds or RxCrossroads) name in fraudulent emails, job postings or social media messages. In light of these scams, please bear the following in mind:
McKesson Talent Advisors will never solicit money or credit card information in connection with a McKesson job application.
McKesson Talent Advisors do not communicate with candidates via online chatrooms or using email accounts such as Gmail or Hotmail. Note that McKesson does rely on a virtual assistant (Gia) for certain recruiting-related communications with candidates.
McKesson job postings are posted on our career site: .
McKesson is an Equal Opportunity Employer
McKesson provides equal employment opportunities to applicants and employees, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, age, genetic information, or any other legally protected category. For additional information on McKesson’s full Equal Employment Opportunity policies, visit our Equal Employment Opportunity page.
McKesson welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the selection process. If you require accommodation please contact us by sending an email to .
Join us at McKesson!
Hiring Full-Time and PRN
Explore opportunities with Heart of Hospice, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Registered Nurse Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying.
Primary Responsibilities:
* Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral
* Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days
* Initiates and coordinates the plan of care
* Documents problems, appropriate goals, interventions, and patient/family response to hospice care
* Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily
* Instructs and supervises the patient/family in self-care techniques when appropriate
* Maintains accurate and relevant clinical notes regarding the patient's condition
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current and unrestricted RN licensure in the state of practice
* 1+ years of clinical experience
* Current CPR Certification
* Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
State Specific Requirements:
* LA:
* 2+ years of full-time experience working as an RN
* However, two years of full-time clinical experience in hospice care as a licensed practical nurse may be substituted for the required two years of experience as a registered nurse
Preferred Qualifications:
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annual ly based on full-time employment. We comply with all minimum wage laws as applicable.
#LHCJobs
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Aveanna Healthcare, the largest pediatric home health care company in the U.S., is hiring compassionate Licensed Vocational Nurses to provide skilled nursing care to patients in the home setting. We are the hearts of 40,000 caregivers and trusted by over 33,000 families.
LVN Rate: $33-$35/HR
*Specific case rates
Palmdale: Part time, Monday and Friday only, 9am - 5pm.
Position Overview
The Licensed Vocational Nurse (LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.
Essential Job Functions
• Responsible for the delivery and coordination of quality patient care in compliance with physician orders.
• Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate.
• Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered.
• Participate, implement and update the nursing care plan.
• Takes appropriate nursing action based on assessment and achieves expected outcomes.
• Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk.
• Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act.
• Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards.
• Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs.
• Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.
Requirements
• Graduate of an accredited school of nursing.
• Current, unrestricted state license as a Licensed Nurse in the state of practice
• Current CPR certification
• Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures
Additional state specific requirements:
• One (1) year of experience required working under current nursing license
• Continuing Education as required by state
Preferences
• Six (6) months of recent experience as a Licensed Nurse in a clinical care setting
• Home health experience
Other Skills/Abilities
• Attention to detail
• Time Management
• Effective problem-solving and conflict resolution
• Good organization and communication skills
Physical Requirements
• Must be able to speak, write, read and understand English
• Must be able to travel
• Must be able to lift 50 pounds
• Must be able to sufficiently reposition patients and move equipment without assistance
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity
• Must have strong sense of smell and touch
• Must be able to sufficiently reposition patients and move equipment without assistance
• Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport
Environment
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases
Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Equal Employment Opportunity and Affirmative Action: Aveanna provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Aveanna complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.
CCPA Notice for Job Applicants, Contractors, and Employees Residing in California
Position Overview
The Licensed Practical Nurse (LPN/LVN) is responsible for providing and documenting skilled nursing care, under the supervision of a Registered Nurse, in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.
Essential Job Functions
• Responsible for the delivery and coordination of quality patient care in compliance with physician orders.
• Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate.
• Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered.
• Participate, implement and update the nursing care plan.
• Takes appropriate nursing action based on assessment and achieves expected outcomes.
• Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk.
• Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act.
• Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards.
• Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs.
• Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.
Requirements
• Graduate of an accredited school of nursing.
• Current, unrestricted state license as a Licensed Nurse in the state of practice
• Current CPR certification
• Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures
Additional state specific requirements:
• South Carolina – One (1) year of pediatrics experience
• California – One (1) year of experience required working under current nursing license
• Louisiana – One (1) year of experience required working as a licensed nurse
• Continuing Education as required by state
Preferences
• Six (6) months of recent experience as a Licensed Nurse in a clinical care setting
• Home health experience
Other Skills/Abilities
• Attention to detail
• Time Management
• Effective problem-solving and conflict resolution
• Good organization and communication skills
Physical Requirements
• Must be able to speak, write, read and understand English
• Must be able to travel
• Must be able to lift 50 pounds
• Must be able to sufficiently reposition patients and move equipment without assistance
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity
• Must have strong sense of smell and touch
• Must be able to sufficiently reposition patients and move equipment without assistance
• Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport
Environment
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases
Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
Notice for Job Applicants Residing in California
Notice for Job Applicants Residing in Florida
By applying, you consent to your information being transmitted to the Employer by SonicJobs.
See Aveanna Healthcare Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at
As the Registered Nurse Case Manager, you will assume full nursing responsibility for the delivery of the Plan of Care for each hospice patient. Continuously evaluating personal and professional performance and making necessary changes to increase productivity and quality of care delivered. You'll also develop the patient's Plan of care in collaboration with other professionals and implement treatment strategies based on scientific nursing theory that promotes physical, psychosocial, emotional, and spiritual well-being. Familiar with the concepts and needs of patients/families who are facing death and dying.
Primary Responsibilities:
* Makes the initial nursing evaluation in determining eligibility for hospice services during visit within forty-eight (48) hours of referral
* Identifies the patient's/family's physical, psychosocial, and environmental needs and re-assesses as needed, no less than every fifteen (15) days
* Initiates and coordinates the plan of care
* Documents problems, appropriate goals, interventions, and patient/family response to hospice care
* Collaborates with the patient/family, attending physician and other members of the IDG in providing patient and family care daily
* Instructs and supervises the patient/family in self-care techniques when appropriate
* Maintains accurate and relevant clinical notes regarding the patient's condition
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Current and unrestricted RN licensure in the state of practice
* 1+ years of clinical experience
* Current CPR Certification
* Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client
State Specific Requirements:
* LA:
* 2+ years of full-time experience working as an RN
* However, two years of full-time clinical experience in hospice care as a licensed practical nurse may be substituted for the required two years of experience as a registered nurse
Preferred Qualifications:
* Able to work independently
* Good communication, writing, and organizational skills
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annual ly based on full-time employment. We comply with all minimum wage laws as applicable.
#LHCJobs
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
POSITION SUMMARY/RESPONSIBILITIES
Coordinates the interdisciplinary treatment plan of care for patients across the healthcare continuum within the maternal patient population. Facilitates the delivery of services, evaluates effectiveness, tracks outcomes and functions as the patient advocate to identify and communicate health care needs. Works collaboratively with clinical staff, clinic leadership, and outside agencies in an effort to improve patient outcomes, compliance, and decrease complications.
EDUCATION/EXPERIENCE
Graduation from an accredited school of nursing, RN or LVN is required. A minimum three years of clinical nursing experience is required. Data entry, referral management, utilization management experience is required. Case Management experience preferred. Experience in a similar setting and working with OB patients preferred. Experience working with EPIC EMR desirable.
LICENSURE/CERTIFICATION
Current licensure in the State of Texas as an RN or LVN is required.
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible.
Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.
EDUCATION/EXPERIENCE Registered Nurse (RN) is required.
Bachelor of Science in Nursing (BSN) or Master's degree is preferred.
Minimum three (3) years nursing, acute care, quality management or managed care experience is required.
Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired.
Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.
LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.
Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
POSITION SUMMARY/RESPONSIBILITIES Assists Community First Health Plan (CFHP) members regain optimum health or improved functional capacity by ensuring that members have access to all of the health care services they need in the most efficient and effective manner possible.
Responsibilities include but are not limited to overseeing the allocation of resources, cost and quality of health care for members; coordinating care between the primary care physician, community resources, family and member; coordinating care across the health care continuum while monitoring and managing benefit utilization; and, collaborating with multi-disciplinary health care team members in identifying the educational and discharge needs of members.
EDUCATION/EXPERIENCE Registered Nurse (RN) is required.
Bachelor of Science in Nursing (BSN) or Master's degree is preferred.
Minimum three (3) years nursing, acute care, quality management or managed care experience is required.
Basic knowledge of Medicaid, Medicare, community resources and alternate funding programs is desired.
Knowledge of InterQual screening criteria as well as DRG, ICD and CPT coding is preferred.
LICENSURE/CERTIFICATION Current licensure as a Registered Nurse with the Texas State Board of Nurse Examiners is required.
Current certification from an appropriate professional agency, such as Case Management Society, is preferred.
This Behavioral Health Care Manager role will be working for a Major Fortune 500 Healthcare Company and offers strong career growth potential.
Behavioral Health Care Manager Highlights: Pay Rate: $40-45/hr, plus mileage reimbursement Schedule: Monday???Friday, 8:00 AM ??? 5:00 PM EST Work Model: Hybrid / Field-based (Ohio-based, region-specific) Field Work: Approximately 50???60% member-facing in the field Remote Work: Documentation completed from home Travel: Occasional travel (approximately once per year) to Columbus, OH for team meetings Location Requirement: Must reside in or near Montgomery, Greene, or Clark County, OH Behavioral Health Care Manager Responsibilities: Develop, assess, and facilitate complex care management for members with primarily physical healthcare needs Create and manage personalized care plans and provide education to members and their families Conduct 5???7 scheduled member visits per week Review emails, tasks, and voicemails daily beginning at 8:00 AM Coordinate care, attend meetings, and collaborate with internal teams as needed Complete all required documentation within 24 hours of member visits Meet turnaround times for assigned processes and complete all required trainings on time Behavioral Health Care Manager Qualifications: Required: Master???s-level Behavioral Health Professional Licensure (must have one): LCSW LMSW LMFT LMHC LPC Experience: 2???4 years in care management, case management, or home health Discharge planning experience Behavioral health experience Ability to work independently with minimal supervision Strong computer skills (Microsoft tools) Ability to travel occasionally for meetings If you are interested in this Behavioral Health Care Manager position, please apply to this posting with Luke H.
at A-Line Staffing.