RN Case Manager

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Are you an experienced RN Case Manager looking for a new opportunity with a prestigious healthcare company? Do you have Disease Management experience within a Healthcare setting? Do you want the chance to advance your career by joining a rapidly growing company? If you answered “yes" to any of these questions – this is the position for you!

Hours for this Position: M-F 11:30 am- 8:00 pm

Pay Rate: $27.00- 30.00/hr

Daily Responsibilities:

• This is a telephonic role.
• • Make outreach calls to members with selected chronic conditions in order to obtain their consent for enrollment in the company’s disease management programs
• • Collect in-depth information related to members’ clinical history, treatment plan, medications; and analyze any gaps in care, using evidence based guidelines adopted by the company
• • Work with members enrolled in the program to develop care plans to address gaps in care, including problem identification, and establishment of goals and interventions
• • Use proven and established motivational techniques to influence member behavior
• • Track and trend progress toward closing gaps in care and achieving agreed-upon member goals
• • Work with members’ providers in order to coordinate care delivery and achieve agreed upon behavioral and clinical goals
• • Monitor effectiveness of care plan(s) and adjust interventions to achieve successful outcomes
• • Work collaboratively with the company’s medical directors, identifying members who would benefit from medical director input into care plans or from peer-to-peer discussion between medical director and provider
• • Coordinate services with outside resources, both medical and community based.
• • Support informed decision-making, self-care behaviors, problem-solving and active collaboration with the health care team
• • Identify and resolve issues interfering with a members’ health status and quality of life
• • Participate in ongoing quality assurance and improvement programs
• • Participate in on-going department education programs, clinical collaborative and disease management intact meetings

Qualifications

What We Look For:

• A minimum of an Associates in Nursing is required.
• Active, unrestricted registered nurse license in the state of Kentucky is required.
• At least 2-3 years clinical nursing experience required.

Additional Information

Interested in being considered?

TAKE THE NEXT STEP! Please click Apply Now to submit your resume for consideration. Interviews are being held next week!