Care Manager I (RN)
Company: Meridian Michigan
Location: Battle Creek
Posted on: May 10, 2022
Job Description:
You could be the one who changes everything for our 26 -million
members. Centene is transforming the health of our communities, one
person at a time. As a diversified, national organization, you'll
have access to competitive benefits including a fresh perspective
on workplace flexibility. -Position Purpose: Perform care
management duties to assess, plan and coordinate all aspects of
medical and supporting services across the continuum of care for
select members to promote quality, cost effective care -
- Develop, assess and adjust, as necessary, the care plan and
promote desired outcome
- Assess the member's current health status, resource
utilization, past and present treatment plan and services,
prognosis, short and long term goals, treatment and provider
options
- Coordinate services between Primary Care Physician (PCP),
specialists, medical providers, and non-medical staff as necessary
to meet the complete medical socio economic needs of clients
- Develop plan of care based upon assessment with specific
objectives, goals and interventions designed to meet member's
needs
- Provide patient and provider education
- Facilitate member access to community based services
- Monitor referrals made to community based organizations,
medical care and other services to support the members' overall
care management plan
- Actively participate in integrated team care management
rounds
- Identify related risk management quality concerns and report
these scenarios to the appropriate resources
- Enter and maintain assessments, authorizations, and pertinent
clinical information into various medical management systems
- For LTSS - 30% travel to perform home visits to members
- For New Hampshire, Massachusetts, & Michigan Complete Health -
home visits required -Our Comprehensive Benefits Package:
- Flexible work solutions including remote options, hybrid work
schedules and dress flexibility
- Competitive pay
- Paid Time Off including paid holidays
- Health insurance coverage for you and dependents
- 401(k) and stock purchase plans
- Tuition reimbursement and best-in-class training and
developmentEducation/Experience: Graduate from an Accredited School
of Nursing. Bachelor's degree in Nursing preferred. 2+ years of
clinical nursing experience in a clinical, acute care, or community
setting. Knowledge of healthcare and managed care
preferred.Licenses/Certifications: Current state's RN license.For
Michigan Complete Health: Licensed RN; licensed nurse practitioner,
licensed physician's assistant. Valid driver's license
required.Centene is an equal opportunity employer that is committed
to diversity, and values the ways in which we are different. All
qualified applicants will receive consideration for employment
without regard to race, color, religion, sex, sexual orientation,
gender identity, national origin, disability, veteran status, or
other characteristic protected by applicable law.
Keywords: Meridian Michigan, Battle Creek , Care Manager I (RN), Executive , Battle Creek, Michigan
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