Care Manager (RN) – J01007 Position Available In Orange, Florida

Care Manager (RN)

• J01007#25-62774
  Orlando, FL
  All On-site Job Description

Job Description:

Designs manufacturing processes, procedures and production layouts for cable harness assemblies and subassemblies. Interprets engineering prints to design processes and works with design engineering to imp Supports the production floor by working with the operations team and focusing on continuous improvement. Designs, procures, and implements tooling to support manufacturing processes. May incorporate inspection and test requirements into the production plan. Inspects performance of machinery, equipment, and tools to verify their efficiency, and investigates and initiates corrective action of problems and deficiencies to ensure product quality. Provides guidance to engineering regarding design concepts and specification requirements to best utilize equipment and manufacturing techniques. Ensures processes and procedures are in compliance with regulations and specifications.
Comments for

Suppliers:

Supports the production floor by working with the operations team. Designs manufacturing prcoesses and production layout for cable harness assemblies and subassemblies. Understands how the cable process works. Shift hours are Mon-Thurs 3:30 PM-2:00 AM EST.
Candidate must be able to read/write English . Centene Job Description

Position Purpose:

Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

Education/Experience:

Requires a Degree from an Accredited School of Nursing or a Bachelor’s degree in Nursing and 2

• 4 years of related experience.

License/Certification:

RN

• Registered Nurse
• State Licensure and/or Compact State Licensure requiredEvaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member’s unmet needs Identifies problems/barriers to care and provide appropriate care management interventions Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member’s goals / unmet needs Provides resource support to members and care managers for local resources for various services (e.

g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner Other duties or responsibilities as assigned by people leader to meet business needs
Performs other duties as assigned Complies with all policies and standards Story Behind the Need

• Business Group & Key Projects Health plan or business unit
  Team culture
  Surrounding team & key projects
  Purpose of this team
  Reason for the request
  Motivators for this need
  Any additional upcoming hiring needs?

Project Ascend hiring-To facilitate with ScriptMed cloud ( a new Operating System) training and implementation. Typical Day in the Role Daily schedule & OT expectations
Typical task breakdown and rhythm
Interaction level with team
Work environment description Managed assigned worklist as well as pended worklist to make patient outreach providing clinical intervention.

• Take inbound and make outbound calls.
• Work collaboratively with other departments and the physician’s office to ensure best patient outcomes.
• Manage emails, messages, and trainings daily.
• Participate in trainings and meetings as needed.

Compelling Story & Candidate Value Proposition What makes this role interesting?
Points about team culture
Competitive market comparison
Unique selling points
Value added or experience gained Specialty pharmacy experience
Remote role that is mostly on the phone Candidate Requirements
Education/Certification

Required:

Associate’s degree in nursing

Preferred:

Licensure

Required:

Current State’s RN license

Preferred:

Years of experience required
Disqualifiers
Best vs. average
Performance indicators Must haves: 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting. Knowledge of utilization management principles and healthcare managed care. Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored managed care programs.

Nice to haves:

Strong communication skills, Proficient technology skills.

Disqualifiers:

Performance indicators: Must be able to manage daily tasks with a high quality of work.

• Goals will be given to the candidate to help them work towards the department’s expectations for success.

Top 3 must-have hard skills
Level of experience with each
Stack-ranked by importance
Candidate Review & Selection 1 2+ years of clinical nursing experience in a clinical, acute care, or community setting and 1+ years of case management experience in a managed care setting.
2 Knowledge of utilization management principles and healthcare managed care.
3 Candidate Review & Selection Shortlisting process
Second touchpoint for feedback
Interview Information

Onboard Process and Expectations Projected HM Candidate Review Date:

ASAP

Number and Type of Interviews:

1-2 teams video interviews

EEO:

“Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of

• Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

“