Registered Nurse Case ManagerInsight Global • Deltona, FL, US
Registered Nurse Case Manager
Insight Global • Deltona, FL, US
4 days ago
Job type
- Full-time
Job descriptionMedicare Advantaged Care experience IV certified A client in the Deltona, FL area is looking for a Case Manager to join their team. The position will assist with reduction in overall admissions, readmissions, and ER visits. The CM is responsible for successfully supporting patients with high-risk health conditions to navigate the healthcare system. The CM assists in developing patient empowerment by acting as an educator, resource, and advocates for patients and their families to ensure a maximum quality of life. The CM interacts and collaborates with multidisciplinary care teams, to include physicians, nurses, pharmacists, laboratory technologists, social workers, and other educators. Meets with patients, patients’ families and caregivers as needed to discuss care and treatment plan as delineated in Transitions of Care program. Identifies and assists with the follow-up of high-risk patients in acute care settings, skilled nursing facilities, custodial and ambulatory settings. Uses protocols and pathways in line with established disease management and care management programs and approved by medical management to optimize clinical outcomes. Oversees provisions for discharge from facilities including follow-up appointments, home health, social services, transportation, etc., to maintain continuity of care. Maintains effective communication with the physicians, disease management, hospitalists, extended care facilities, patients, and families. Demonstrates a thorough understanding of the cost consequences resulting from Care Management decisions through utilization of reports and systems such as Health Plan Benefits, utilization of metrics and CM reports. Participates in daily huddles and Patient Care Coordination (PCC) meetings
Job Description
Job Description
Must Haves :
- Registered Nurse license (FL) and BLS certification
- 2 years of experience as a Care Manager
- Ability to interact and verbally communicate effectively with patients and all levels of personnel in a professional manner.
Nice to have :
Day to Day :
Additional responsibilities :
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Registered Nurse Case Manager • Deltona, FL, US
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