Job Description:
• Acts as a liaison with member/client/family, employer, provider(s), insurance companies, and healthcare personnel as appropriate
• Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care
• Interacts with members/clients telephonically or in person
• Assesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status
• Communicates with member/client and other stakeholders as appropriate (e.g., medical providers, attorneys, employers and insurance carriers)
• Prepares all required documentation of case work activities
• Interacts and consults with internal multidisciplinary team as indicated to help member/client maximize best health outcomes
• Provides educational and prevention information for best medical outcomes
• Conducts evaluation of members/clients’ needs and benefits plan eligibility
Requirements:
• Active and unrestricted Compact Registered Nurse (RN) Licensure
• 3+ years of clinical practical experience preference (diabetes, CHF, CKD, post-acute care, hospice, palliative care, cardiac, Home Health) with Medicare members
• 2+ years of case management, discharge planning and/or home health care coordination experience
• Proficiency with standard corporate software applications, including Microsoft Word, Excel, Outlook and PowerPoint
• Efficient and effective computer skills including navigating multiple systems and keyboarding
Benefits:
• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• Employee stock purchase plan
• No-cost programs including wellness screenings, tobacco cessation, weight management programs
• Confidential counseling and financial coaching
• Paid time off
• Flexible work schedules
• Family leave
• Dependent care resources
• Colleague assistance programs
• Tuition assistance
• Retiree medical access
• Many other benefits depending on eligibility