Nurse Case Manager II

Nurse Case Manager II

Duration: 6+ months Location: Miami, FL Shift: Monday-Fri 8:00 am - 5:00pm EST

Key Responsibilities

• 50-75% of the day is dedicated to telephonic engagement with members and the coordination of their care.
• Compiles all available clinical information and partners with the member to develop an individualized care plan that encompasses goals and interventions to meet the member's identified needs.

Required Qualifications

• Candidate must have active and unrestricted Compact Registered Nurse (RN) licensure in the state of residence
• Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the Care Manager – Registered Nurse (CM RN) role
• Access to a private, dedicated space to conduct work effectively to meet the requirements of the position
• Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
• Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually
• 3+ years of nursing experience
• 2+ years of case management, discharge planning and/or home healthcare coordination experience

Preferred Qualifications

• Experience providing care management for Medicare and/or Medicaid members
• Experience working with individuals with SDoH needs, chronic medical conditions, and/or behavioral health
• Experience conducting health-related assessments and facilitating the care planning process
• Bilingual skills, especially English-Spanish

Education

Associate's of Science in Nursing (ASN) degree and relevant experience in a health care-related field (REQUIRED) Bachelor's of Science in Nursing (BSN) (PREFERRED)