RN Case Manager

Job Summary

Supervisory Responsibilities

• Supervise the care management staff, including assisting in the development, training, network development, and assignment of work/projects.
• Supervises and evaluates appropriateness of care coordination and directs the case management staff to modify plans as needed.

Duties/Responsibilities

• Utilize medical interventions to enhance members' self-management of health.
• Engage with ECM Lead Care Managers via phone or in-person for assessment and care plan development.
• Provide training for ECM Team Members on medical conditions and treatments.
• Coordinate with internal and external partners to support members' comprehensive care.
• Coordinate clinical care for ECM Program clients and establish care plan goals.
• Organize and monitor services needed by recipients.
• Perform bio-psycho-social assessments and develop care plans.
• Oversee care plan implementation and monitor treatment adherence.
• Provide coaching for behavior change and health improvement.
• Document interactions and interventions accurately.
• Collaborate with executives and assist in staff training for safety and quality assurance.
• Design and execute training programs for Lead Care Managers.
• Prepare formal responses and reports for regulatory agencies.
• Establish effective processes and ensure compliance with regulations.
• Assist in maintaining operational efficiency and quality care for patients.
• Performs other duties as assigned.

Education and Experience

Required Skills/Abilities

• Proficient in evidenced-based communication techniques like Motivational Interviewing.
• Understanding and sensitivity to multicultural communities.
• Knowledgeable in self-management practices for chronic conditions.
• Skilled in phone-based engagement with members and providers.
• Proficiency in data interpretation and learning new software systems.
• Strong attention to detail, analytical thinking, and interpersonal skills.
• Ability to work autonomously and as part of a team.
• Exceptional organizational and time management abilities.
• Compassionate and empathetic approach to patient care.
• Ability to analyze situations and act ethically and in compliance with regulations.
• Flexibility to adapt to changing environments

Physical Requirements

• Willingness to travel to different locations.
• Prolonged periods sitting at a desk and working on a computer.
• Must be able to lift up to 10 pounds at times.

Benefits

• Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:
• Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
• Short & Long-Term Disability Benefits: Protection when you need it most.
• Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
• Flexible Spending Accounts: Manage your finances with flexibility.
• Employee Assistance Program (EAP): Support when life throws challenges your way.
• 401(K): Building your financial future with us. Effective after 1 year of employment.
• Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
• Paid Holidays: Quality time to enjoy celebrations.
• Employee Referral Program: Share the opportunities and reap the rewards.
• Company Discount Program: Enjoy savings on everyday expenses and memberships.

Equal Employment Opportunity

Pre-Employment