Care Manager (RN)

Title: Care Manager (RN)

Duration: 7 Months - possible extension or conversion to FT

Location: Remote - Ohio with travel required for face-to-face assessment

Must reside in North East Ohio- preferably close to the below counties in the NE region.

(Trumball, Stark, Seneca, Portage, Mahoning counties.)

In field about 50-60% of the time - individual can determine the days in field and manage their own schedule

The rest of the time will be documentation from home Reimbursed for mileage

Schedule: Training Monday-Friday 8a-5p EST | 5 weeks training - classroom & 1on1 - virtual - CAMERAS ON - NO TIME OFF during training

Working shift Monday-Friday 8a-5p EST

Summary:

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

Everyone works together to ensure our members get the care and services they need to remain as independent as possible

Responsibilites:

• Evaluates 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.

Performance expectations: 5-7 in home visits weekly, ensuring documentation is completed within 24 hours. Must meet required turn-round times for processes, and completing required trainings timely.

Candidate Requirements

Education/Certification
Degree from an Accredited School of Nursing and 2 - 4 years of related experience
Preferred: 2-4 years of related experience in case management or home health experience

Licensure
Required: Ohio RN Licensure
Preferred: Ohio RN Licensure

Years of experience required: 2-4 years of experience nursing, case management, home health, reliable vehicle for weekly travel

Disqualifiers: Inability to work independently, manage change well, inability to utilize technology and Microsoft Office

Additional qualities to look for: Someone who works well independently, personable, strong communication skills. Someone who can think critically, be flexible, open to change, and can also work well on a team.

During 5 week training they will not be able to miss any days of training. They must be able to attend ALL training classes and modules.

• Top 3 must-have hard skills stack-ranked by importance

1
Computer Literate IS A MUST (knowledge of Microsoft) Excel, Word, Team, Outlook, One note, One Drive, Powerpoint, Explorer, Chrome

2
Critical Thinker

3
Works well independently, troubleshooting