RN Care Manager (DSNP)
About The Position
The Care Manager-RN is a Registered Nurse (RN) who functions as an integral member of the Case Management Team of Security Health Plan. The RN is responsible for the assessment, coordination, planning, and implementation of case management services. S/he is also responsible for carrying out the management of specific, individual medical episodes identified through utilization review, disease management, and quality assurance functions. This individual ensures that case management program objectives are met by evaluating the effectiveness of alternative care services and that cost effective, quality care is maintained.
Requirements
- Graduate of an accredited school of nursing.
- Five years’ clinical experience in home health, nursing home, hospital, community outreach care, case management, utilization management, and/or discharge planning.
- Experience with keyboard, computer, and general office equipment.
- Current State of Wisconsin Registered Nurse License or Nurse Compact License.
- Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) within three months of hire.
- Valid driver’s license required with an acceptable record.
- Employee may not at any time have been or be excluded from participation in any federally funded program, including Medicare and Medicaid.
Nice To Haves
- Bachelor’s degree in nursing preferred.
- Experience in quality assurance/improvement.
- Knowledge of insurance, BadgerCare/Medicaid, and Medicare requirements.
- Utilization Review and/or case management certification preferred
- Basic Life Support (BLS) certification awarded by the American Heart Association (AHA) at time of hire.
Responsibilities
- assessment
- coordination
- planning
- implementation of case management services
- management of specific, individual medical episodes identified through utilization review, disease management, and quality assurance functions
- evaluating the effectiveness of alternative care services
- ensuring cost effective, quality care is maintained
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
5,001-10,000 employees
