RN Care Ally

Duly Health and Care • Bountiful, UT

11d • $67,000 - $101,000 • Onsite

About The Position

At Duly Health and Care, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do. With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

Requirements

• Must be an active Registered Nurse License in the State of Illinois in good standing.
• Current CPR certification must be maintained (BLS).
• Associate’s degree in nursing required.
• 2-4 years of experience working within the primary care or hospital setting as a Registered Nurse.

Nice To Haves

• Certification in Case Management, preferred.
• Bachelor’s degree in nursing preferred.
• Previous experience working within case management preferred.

Responsibilities

• Works in collaboration with physicians, patients and families to promote quality outcomes for patients with complex medical needs.
• Increasing efficient utilization of health care services.
• Identifying chronic or catastrophic cases through the case management process and initiating intensive case management according to program guidelines.
• Managing patients in all health care settings to assure the appropriate level-of-care is provided, to prevent inpatient re-admissions and ensure that the patients' medical, environmental and psychosocial needs are met over the continuum of care.
• Acts as an advocate through the coordination and communication with the health care team and family regarding care planning and implementation of recovery goals.
• Assess and coordinate resources available to patients and maximize the use of health care benefits.
• Analyze data collected from the predictive modeling tools to identify eligible patients for the Case Management Program.
• Enroll and manage a case load of patients with complex medical needs, completing case management attestations and initial assessments in accordance with health plan requirements.
• Develop individualized case management plans with prioritized goals and appropriate interventions in compliance with the risk stratification level requirements.
• Complete all documentation, member communications, and case closures per policies and procedures.
• Coordinate Health Care Services with appropriate physicians and health care providers.
• Manage and provide a comprehensive summary and log of all active Case Management Cases as required by the UM/QA Committee and/or Health Plan.
• Act as a resource for Utilization Management Staff, physicians, office staff and Patients.
• Assist with the evaluation and amendment of Case Management Policy and Procedures.
• Attend continuing education sessions and training relating to your job functions as required.
• Perform additional duties/tasks as assigned.

Benefits

• Comprehensive medical, dental, and vision benefits that include healthcare navigation assistance.
• Access to a mental health benefit at no cost.
• Employer provided life and disability insurance.
• $5,250 Tuition Reimbursement per year.
• Immediate 401(k) match.
• 40 hours paid volunteer time off.
• A culture committed to community engagement and social impact.
• Up to 12 weeks parental leave at 100% pay and a financial benefit for adoption and surrogacy for non-physician team members once eligibility requirements are met.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree