RN Care Manager (Bedford, NH)

Lumeris•New Hampshire, NH

3d•$84,600 - $113,775•Onsite

About The Position

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. We're excited to consider every qualified candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time.

Requirements

Current licensure in good standing as a registered nurse in the state of Missouri and Illinois and eligibility for licensure in other states
5+ years of clinical nursing experience including 2+ years of experience in a hospital or home health case management setting or the knowledge, skills, and abilities to succeed in the role
Ability to take and pass case management certification (CCM) within 2 years of hire and to maintain CCM certification during employment
Proficient computer skills with the ability to learn and apply new technologies
Ability to type and talk simultaneously
Considerable initiative and ability to prioritize workload and respond to changing demands/timelines
Ability to guide team projects or processes
Strong judgement and critical thinking skills with a proven ability to assess member needs and develop a plan of care
Flexible and adaptive to a changing environment
Effective communication and relationship building skills with the ability to influence and positively impact members
Excellent interpersonal and customer service skills, including telephone etiquette
Effective training and mentoring skills

Nice To Haves

BSN or experience with telephonic case management
Case management certification
Previous experience as a telephonic case manager for a Medicare insurance plan

Responsibilities

Offers members health and disease education and empowers them to regularly participate in their care.
Encourages members to make healthy lifestyle changes.
Provides consultation to members on their medications and durable medical equipment.
Reviews member care plans, addresses home care needs, and connects members to community resources.
Makes outbound calls to assess member's current health status.
Provides patient education and use Motivational Interviewing to assist with self-management.
Creates and monitors personalized member plans of care.
Educates members on disease processes.
Identifies gaps or barriers in treatment plans.
Coordinated care for members.
Makes referrals to outside sources.
Coordinates services such as home health, DME, as needed.
Ensures that discharged members receive the necessary services and resources, including medication reconciliation.
Documents and tracks findings in a computerized system.
Interacts with providers and a multi-disciplinary care team.
Collaborates with medical management staff in development of new programs.
Remains committed to member and department success and works to assist the team in meeting goals.
Trains and mentors new employees.