Case Manager RN Health Leaders Network

Description

The Case Manager 1 directs the utilization review of patient charts treatment plans and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of information pertaining specifically to the assigned areas. Relies on education experience professional training and judgment to accomplish responsibilities. A wide degree of creativity and latitude is expected. Works under minimal supervision.

Responsibilities

• Individual High Risk Care Management

Assists health plan member to set realistic goals using system tools and judgement. Gain trust to assure disease based high risk or high utilization individuals set and meet or exceed targets.

Communicates effectively with the provider to assure that the panel of individuals is on track with health goals.

Ensures that services provided to members maintains or improves member health status optimizes benefits available within health plan and improves overall patient satisfaction of services delivered

Qualifications

Experience - 3 years of general or specialty nursing practice

Education - See licensure requirements

License & Cert - Current Louisiana State RN

Required Experience :

Manager

Key Skills

Project Portfolio Management,Motivational Interviewing,HIPAA,Computer Skills,Intake Experience,Lean Six Sigma,Conflict Management,Case Management,Team Management,Program Development,Social Work,Addiction Counseling

Employment Type : Full Time

Experience : years

Vacancy : 1