RN Care Manager
Job
Actalent
Remote
$74,297 Salary, Full-Time
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Job Description
RN Care Manager Job Description The RN Care Manager provides comprehensive clinical assessment, member-centered care planning, and ongoing care coordination for program members, including older adults and individuals with intellectual or physical disabilities. This role focuses on achieving meaningful member outcomes through evidence-based standards of care, close collaboration with members and their families, and continuous quality improvement in all aspects of service delivery. Responsibilities Perform discipline-specific initial and ongoing comprehensive clinical assessments for program members. Develop, implement, and maintain individualized, member-centered care plans that promote optimal health, safety, and quality of life. Conduct home visits and home assessments as needed, including visits to members in long-term care (LTC) facilities. Consult with families, caregivers, and other support persons to gather additional information and ensure coordinated care. Use critical thinking and clinical judgment to optimize members' health outcomes and help them achieve their personal goals. Educate members and their families about health conditions, treatment options, care plans, and available community resources. Coordinate services across the continuum of care, including medical, behavioral health, and social support services. Monitor the quality, effectiveness, and appropriateness of services provided to members, and adjust care plans as needed. Identify and participate in initiatives to continuously improve the quality of member care and services. Interact with members and their families with a high level of respect, compassion, and integrity, reinforcing a strong member-centered culture. Support operational goals by adhering to operational standards and complying with contractual, regulatory, and internal policy requirements. Participate actively in training, orientation, and ongoing professional development opportunities. Engage in efforts to enhance team collaboration and overall work experience. Ensure accurate, timely documentation in healthcare management and care management systems, including prior authorizations when applicable. Essential Skills Active RN license in the state of Wisconsin. RN degree from an accredited nursing program. Certification as a Long-Term Care Functional Screener / Certified Functional Screener. Minimum of 2 years of care management experience. Demonstrated experience in case management and care coordination. Knowledge of Medicare, Medicaid, and managed care programs, including BadgerCare. Ability to develop, implement, and manage individualized care plans. Strong clinical assessment and critical thinking skills. Ability to work effectively with older adults and individuals with intellectual or physical disabilities. Proficiency using healthcare management and care management systems. Strong communication and education skills for working with members and families. Ability to comply with contractual, regulatory, and organizational policies and procedures. Work Environment Schedule is Monday-Friday 8am to 4:30pm. This is a hybrid role. 50% of the time is spent out in the field meeting with members conducting annual and bi-annual assessments. The other 50% is spend attending meetings and completing necessary documentation. RN Care Manager is expected to be in office 3 days out of the week when not conducting member visits. Role does provide more autonomy with hybrid flexibility was fully adapted to the role. Job Type & Location This is a Contract to Hire position based out of Milwaukee, WI. Pay and Benefits The pay range for this position is $32.69 - $38.46/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Milwaukee,WI.
San Francisco Fair Chance Ordinance:
Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.Massachusetts Lie Detector:
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.Similar jobs in Milwaukee, WI
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