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Care Manager II (RN)

Company: Aerotek
Location: Tallahassee
Posted on: April 9, 2021

Job Description:

Description:Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care. The opportunity will be remote but must reside in Leon county.

  • Pre-Admission Counseling Contacts patients with upcoming hospital admissions and discusses expectations.
  • Assesses patient's condition to understand illness or injury and evaluate ability to follow treatment plan.
  • Advises patients of probable length of stay and helps anticipate and arrange for services at discharge.
  • Admission Care Works with physicians and hospitals to enforce treatment plans and orders. Ensures patient receives specialty care and tests as ordered.
  • Contacts medical team members to discuss patient's course of progress and needs.
  • Arranges for and coordinates health care team services, avoiding duplication and conserving benefit dollars.
  • Evaluates need for and authorizes equipment, supplies, and services.
  • Identifies problems and acts to anticipate and avoid complications.
  • Instructs patient and family in proper care and refers patient back to physician or other health care team members as needed.
  • Identifies plateaus, improvements, regressions and depressions, and counsels accordingly.
  • Coordinator of Care Conducts hospital visits.
  • Confers with physician to clarify diagnosis, prognosis, therapies, daily living activities, and to share information.
  • Authorizes recommended modalities of treatment.
  • Investigates and suggests alternatives appropriately. Documents case summary in Transitional Care Plan and shares appropriately with beneficiaries and providers.
  • Facilitates beneficiary transfers among regions and collaborates with military liaison to minimize disruption care or services.
  • Coordinates basic benefit.
  • Identifies and submits modifications, requests for exceptions or special programs as warranted.
  • Coordination of Financial Services Assesses patient's benefit plan coverage and limitations.
  • Negotiates cost-effective rates for provider services by contacting multiple providers and comparing specialty item costs, researching and identifying required equipment, and pursuing contracts accordingly.
  • Suggests medically appropriate alternatives that accomplish treatment plan goals more cost effectively.
  • Post Discharge Follow-up Contacts patients within 48 hours of discharge to ensure sufficient support for full recovery.
  • Ensures proper receipt of equipment, home health and other services.
  • Assesses compliance with medications and follow-up appointments. Assists patient in coordinating transportation and other basic needs, and in navigating the health care system effectively.Skills:Case Manager, RN, Registered Nurse, Microsoft OfficeTop Skills Details:Case Management, can be insurance Navigate documentation systems 2 years of hospital experienceAdditional Skills & Qualifications:Education/Experience: Graduate from an Accredited School of Nursing. Bachelors degree in Nursing preferred. 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.Licenses/Certifications: Current states RN license. About Aerotek:We know that a company's success starts with its employees. We also know that an individual's success starts with the right career opportunity. As a Best of Staffing Client and Talent leader, Aerotek's people-focused approach yields competitive advantage for our clients and rewarding careers for our contract employees. Since 1983, Aerotek has grown to become a leader in recruiting and staffing services. With more than 250 non-franchised offices, Aerotek's 8,000 internal employees serve more than 300,000 contract employees and 18,000 clients every year. Aerotek is an Allegis Group company, the global leader in talent solutions. Learn more at Aerotek.com.The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Keywords: Aerotek, Tallahassee , Care Manager II (RN), Executive , Tallahassee, Florida

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