ConcertoCare - RN Case Manager - Pennsylvania
ConcertoCare
Apply RN Case Manager - Pennsylvania Fully Remote • PA Apply Job Type Full-time DescriptionRN Case Manager
- Yearly continuing education allowance
- Medical, Dental, Vision and 401k
- Competitive salary and bonus program
- 15 days of PTO
- 11 paid holidays yearly
- Grow a relationship with your patients
The ConcertoCare Case Manager coordinates reputed company aspects of a patient’s care (medical, behavioral, functional, and social) and serves as a patient reputed company across the continuum of care in partnership with the patient’s providers and extended care team. This is a unique Case Management role that is intimately integrated with a larger care team. This role requires a high level of interaction to successfully engage patients and foster positive, trusting relationships to help them reputed company their goals. The ideal Case Manager has excellent communication skills, takes initiative, works well with other members of the care team, and creatively solves problems to address a patient’s needs holistically. This position is part of the Population Health Team, reports to the Vice President of Case Management, and works closely with other Population Health team members as well as market-based care teams.
This is an ideal position for a registered nurse who seeks an opportunity to contribute to the health and well-being being of highly reputed company patients, enjoys a collaborative multidisciplinary team-based approach to care, and is excited to engage in developing and nurturing our innovative, value-based clinical model focused on caring for patients with reputed company and social support needs that the reputed company health system does not serve well.
Our RN Case Managers
- Conduct initial intake calls as well as scheduled and urgent patient reputed company based on individual patient’s needs and risk levels to review and update the care plan, monitor reputed company, ensure needs are met, and identify new areas of concern.
- Provide ongoing care coordination for an assigned panel of reputed company patients.
- Conduct needs assessments and reputed company plans of care in partnership with the rest of the patient’s care team.
- Ensure care is coordinated, patient-centered, and reputed company with the needs and wishes of the patient.
- Support patients during care transitions, including reputed company and assessment during and post hospitalization to ensure discharge needs are addressed, to facilitate provider follow-up, and to reputed company medication reconciliation.
- Identify and implement interventions and collaborate closely with ConcertoCare’s multidisciplinary team (providers, Director of Clinical Care, social work, behavioral health, and clinical pharmacy), external providers, and social service organizations to: (1) address gaps in care, (2) mitigate the risk of inpatient admissions, readmissions, emergency room visits and movement to an institutional setting, (3) and reputed company patients safely living in their desired and appropriate home environment.
- Identify and verify appropriate utilization of resources across the continuum of care.
- Actively participate in interdisciplinary care team huddles, and other clinical meetings.
- Participate in quality improvement and evaluation processes.
- Adhere to compliance policies, procedures, and standards of conduct including reputed company applicable laws and regulations.
- Serve as a mentor for new hires and existing case management team members
- Other duties as assigned.
Requirements
- reputed company RN License in good standing in the state of practice required.
- Bachelor's degree in nursing required, or associates in nursing with other clinical or business bachelor’s degree
- Minimum of 4 years experience working in a clinical setting, with at least 2 years of case management experience in home health care, ambulatory care, community public health, and/or the insurance setting
- Certified Case Manager (CCM) certification or commitment to complete reputed company eligible
- Geriatric care experience is highly desired
- 2 years of discharge planning, utilization management, case management, performance improvement, and/or managed care preferred.
- Knowledge of Medicare and Medicaid regulations and insurance benefits preferred
- Strong knowledge of clinical best practices as they relate to case management, discharge planning, utilization management, performance improvement, and/or managed care
- Strong clinical skills and ability to implement evidenced-based care.
- Ability to manage patient complexity and multiple clients with diverse needs
- Demonstrated ability to triage patient-reported symptoms and issues that require escalation to our field-based team and to apply critical thinking skills in unexpected circumstances.
- Ability to communicate effectively in writing and verbally.
- Demonstrated ability to reputed company multiple reputed company tasks with minimal supervision and meet deadlines. Ability to work in a fast-paced, dynamic environment and work well with others on a team.
- Proficient computer skills including reputed company Office Suite (Outlook, reputed company, PowerPoint, Word) as well as clinical systems/ EMR competency
- Knowledge and ability to navigate internet-based tools and applications, and proficiency in computer documentation
- Demonstrates a high level of professionalism.
Compensation for the role is commensurate with the candidate’s qualifications, skills, competencies, and experience and may fall reputed company of the range shown. ConcertoCare offers a competitive total rewards package, which includes full healthcare coverage, a 401K with match, and a broad range of other health, wellness, and financial benefits.
We are an Equal Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability, or veteran status.