Registered Nurse, Case Manager- Quality Management

POSITION SUMMARY:

The Chronic Care Case Management Nurse utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet Medicare patients' health needs through communication and targeted intervention to promote optimal, cost-effective outcomes in a clinic setting. The function of this position is to assist Medicare patients in the administration of their health plan benefits. The Chronic Care Case Management Nurse focuses on arranging or coordinating services that the patient needs to get well or stay well and removing barriers that prevent the member from engaging in an appropriate plan of care. The Chronic Care Case Management Nurse demonstrates strengths working independently as well as collaboratively within a multi-specialty healthcare environment. The Chronic Care Case Management Nurse may rotate among several clinics performing non-face-to-face encounters with the clinic's Medicare population for that specific area.


EDUCATION & EXPERIENCE:

• Graduation certificate from an accredited RN school of nursing, required
• Current state licensure, required
• Three (3) years of experience, preferred
• IV certification
• ACLS certification
• BLS/CPR certification, preferred

QUALIFICATIONS:

• Ability to maintain strict confidentiality and handle sensitive information with discretion
• Highly organized and detail oriented; particularly in regards to time management
• Ability to prioritize key objectives while performing daily tasks as well as the ability to manage multiple duties simultaneously
• Knowledge of EMR, medical management and policies and procedures
• Intermediate skills in work processing, spreadsheet and database development and maintenance
• Excellent organizational, written, and oral communication skills

WORK SCHEUDLE:

Monday- Friday, 8:00AM-5:00PM

25% Travel Required