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Job Title: Care Manager (RN) Client: Centene CorporationLocation: Remote, compact state preferred with NY licensure required. Duration: 3 months (Possible Extensions)Shift: Mon-Fri 8 am- 5 pmNOTE: The CM position available is very fast paced and will require someone with flexibility, adaptability to change as well as expert understanding and implementation of closing care gaps at a minimum. Along with that we need excellent documentation skills.Job DescriptionWalk me through the day-to-day responsibilities of this the role and a description of the project (Outside of Workday JD):
Remote telephonic case management, Care manager (CM) follows model of care to assist member in managing health care needs.
Conducts initial assessments, medication review, develops care plan with member, identifies member needs and connects member with appropriate resources to meet health care needs.
Interacts with members care team, community services, vendors.
Follows up with member every 30 days at minimum to review conditions, progress toward goals, and ensure member is receiving requested information and/or services.
Provides education on member health plan and coverage and management of identified health conditions.
Describe the performance expectations/metrics for this individual and their team:
CM caseload expectation is 75 actively managed members, Audit score of 90%or greater, Case duration 90 days.
Experience HM Looking For
The population this role would serve is considered high/ mod risk (related to the utilization of services). Typically Ed's top (2) preferences for candidates with this description are 1) behavioral health experience and 2) ER or critical care experience.
Tell Me About What Their First Day Looks Like
First day is usually corporate HR training, Setting up company issued equipment and access necessary to perform role specific duties.
What previous job titles or background work will in this role?
RN, experience in case management preferred, clinical nursing background of 5 years or more.
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Health Care Provider
Industries
Staffing and Recruiting
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