PT - Case Manager-RN, Mid
Role Overview
The Case Manager, RN, will evaluate beneficiaries' needs, develop individualized care plans, and coordinates healthcare team members to ensure optimal client outcomes while adhering to payer requirements.
They also facilitate integrated case and disease management activities based on CMSA principles, aiming to stabilize beneficiaries' health and avoid long-term care placement.
Key Skills for This Role
Full Job Posting
Experience in Lieu of Degree
For non-clinical roles, or when not required by the contract specifically, the Company acknowledges that practical, hands-on experience can provide skills and competencies equivalent to formal education. As such, in cases where a Bachelor's degree may be required, the Company will accept a minimum of six (6) years of directly relevant professional experience in lieu of a degree. In instances where the candidate has an Associate's degree, the Company will accept a minimum of three (3) years of directly relevant professional experience in lieu of the Bachelor's degree.
Compensation
- The pay for this position is listed below.
$21.63 to $26.44 per hour
"Based on our compensation philosophy, an applicant’s position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."
Requirements
- Current, unrestricted Registered Nurse (RN) license in a state or territory of the United States that allows the health professional to independently conduct an assessment as permitted within the scope of practice of the discipline.
- 3 - 5 years RN clinical experience required.
- BSN and CCM preferred
- Proficiency in using Microsoft Word, Excel, and other applications in the Microsoft Office suite.
- Excellent written and verbal communication skills.
- Ability to work effectively in a team environment.
- Maintain a high level of confidentiality.
- Good problem-solving skills.
- Ability to maintain metrics and goals within the department.
- Work telephonically, and with computer systems.
- Assist members and conduct outreach to members without prior engagement.
- Flexibility and strong organizational skills.
- Strong understanding of cultural competency when working with the population.
- Experience with Medicaid, Medicare or Commercial health plans.
- Ability to multi-task and prioritize with variable and sometimes conflicting deadlines; superior attention to detail and demonstrated ability in decision-making.
- Demonstrated initiative and judgment in the performance of job responsibilities.
- Maintain professionalism, flexibility, and dependability under pressure.
- Strong communication (written/verbal), interpersonal, organizational, time management and communication skills with a strong focus on customer service, including building and maintaining relationships with internal/external customers and facilitating meetings.
- Ability to work independently and as part of a team.
- Ability to research/identify and apply appropriate standards of care.
- Interest in continuous learning and a commitment to staying informed on regulatory changes
About Acentra Health, LLC
Private healthcare technology and clinical services company serving government and commercial healthcare clients and priority populations.
Visit company websiteJobs and hiring trendsApply for this job in 1 click
Skip the repetitive application forms
Install the Base Career Chrome Extension and autofill job applications across major job boards with your profile.
Trusted by over 500,000 job seekers on Base Career
More from this employer
More jobs at Acentra Health, LLC
Clinical Assessor RN (Remote + Required Travel)
Concord, USA
EAP On-site Clinician - Full-time - DMV Area (Licensed in Washington, DC OR Virginia)
, USA
EAP On-site Clinician - Full-time (Spokane, Washington)
Spokane, USA
(BCBA) Behavioral Health Clinical Reviewer
, USA
Clinical Assessor RN (Remote + Required Travel)
Concord, USA
Psychiatrist (PRN)
, USA
Clinical Assessor (RN-Hybrid)
Monroe, USA
EAP On-site Clinician - Full-time - DMV Area (Licensed in Washington, DC OR Virginia)
, USA
EAP On-site Clinician - Full-time (Spokane, Washington)
Spokane, USA
Clinical Social Worker - REMOTE (LCPC / LCSW)
, USA