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in Jacksonville, FL
Care Manager I (RN)
•4 days ago
Estimated Pay | $38 per hour |
---|---|
Hours | Full-time, Part-time |
Location | Jacksonville, FL, United States Jacksonville, Florida |
Compare Pay
Estimated Pay We estimate that this job pays $37.7 per hour based on our data.
$29.8
$37.70
$47.55
About this job
Care Manager I (RN)
02 months
60-day contract position. Compact License
Licenses/Certifications: Current state's RN license.
Remote (Florida residency is required.)
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 the 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 Physicians (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
* Develop a 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
Education/Experience:
Current state's RN license.
Required Skills/Experience: Preferred Skills/ Experience: 1. Registered Nurse, 5 plus years of clinical RN experience 1. Medicare Case management experience 2. Compact License 2. CCM certification
*Pediatrics - birth to 21
*Work-from-home case management role
02 months
60-day contract position. Compact License
Licenses/Certifications: Current state's RN license.
Remote (Florida residency is required.)
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 the 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 Physicians (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
* Develop a 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
Education/Experience:
- Graduate from an Accredited School of Nursing. Bachelor's degree in Nursing preferred.
- 2+ years of pediatric clinical nursing experience in a clinical, acute care, or community setting. Knowledge of healthcare and managed care preferred.
- Knowledge of healthcare and managed care preferred. Prior experience working in a remote role is preferred.
- Prior case management experience is preferred. Bilingual in Spanish and English is preferred.
Current state's RN license.
Required Skills/Experience: Preferred Skills/ Experience: 1. Registered Nurse, 5 plus years of clinical RN experience 1. Medicare Case management experience 2. Compact License 2. CCM certification
*Pediatrics - birth to 21
*Work-from-home case management role