RN Case Manager
About The Position
Ignite your nursing career with Avardis Health as a PRN RN Case Manager! This is your chance to make a meaningful impact from the comfort of your home, enjoying the dynamic flexibility of remote work while leading patient care journeys. Picture collaborating with a high-energy team that's as forward-thinking as you are, where your expertise is valued and your voice is heard. With a competitive salary range, you'll be rewarded for the critical role you play in transforming lives. Join us and experience the thrill of pushing the boundaries of healthcare from your home office, all while achieving a healthy work-life balance! Apply today and embark on an exhilarating career adventure. Your day to day as a RN Case Manager As a PRN RN Case Manager at Avardis, you will take the lead in shaping best practice initiatives that enhance health outcomes, streamline access to care, and lower costs for the population we serve. Your role includes providing clinical leadership for Managed Care, Bundle Payment, and ACO programs, acting as an educator and advocate for both patients and staff. You'll collaborate across departments to evaluate and direct activities that support patient care delivery, oversee data collection for quality indicators, and identify successes and areas for improvement. By developing comprehensive care plans with input from patients, families, and healthcare teams, you ensure smooth transitions from inpatient care to the next level. Additionally, proactive post-discharge follow-ups and consultations with physicians will empower you to eliminate barriers for patients, while your innovative ideas will continually enhance healthcare delivery systems and results. Join us and be part of a transformative healthcare journey!
Requirements
- Valid Degree in Nursing as a Registered Nurse.
- At least two years of experience in a hospital, nursing care facility, or similar healthcare setting.
- Comprehensive knowledge of managed care rules, regulations, and guidelines.
- Strong negotiation skills.
- Qualified, compassionate, and dedicated to making a difference and delivering exceptional patient care.
- Working knowledge of managed care, health insurance, and Case Management.
- Ability to negotiate coverage and provide complete and timely case management, bundled payment, and ACO reports.
Nice To Haves
- Prior experience with a Health Plan, private or third party case management company.
Responsibilities
- Shape best practice initiatives that enhance health outcomes, streamline access to care, and lower costs.
- Provide clinical leadership for Managed Care, Bundle Payment, and ACO programs.
- Act as an educator and advocate for both patients and staff.
- Collaborate across departments to evaluate and direct activities that support patient care delivery.
- Oversee data collection for quality indicators, and identify successes and areas for improvement.
- Develop comprehensive care plans with input from patients, families, and healthcare teams.
- Ensure smooth transitions from inpatient care to the next level.
- Conduct proactive post-discharge follow-ups and consultations with physicians.
- Eliminate barriers for patients.
- Continuously enhance healthcare delivery systems and results with innovative ideas.
Benefits
- Competitive salary range
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Part-time
Career Level
Mid Level
