14 часов назад
LTSS Svc Coord-RN Clinician (US) (RN Clinical Care Management)
Мэтч & Сопровод
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Описание вакансии
Текст:
TL;DR
LTSS Svc Coord-RN Clinician (US) (RN Clinical Care Management): Managing member cases and developing care plans for individuals with chronic illnesses, co-morbidities, disabilities, and long-term service needs with an accent on clinical assessment, care coordination, and access to appropriate services. Focus on identifying high-risk complications, coordinating interdisciplinary treatment plans, facilitating authorizations and referrals, and overseeing non-RN clinicians.
Location: Virtual full-time role based in Kansas, with required in-person training and residence within commuting distance of a posting location; Wichita, KS and Topeka, KS are referenced.
Company
is a Fortune 25 healthcare company focused on improving lives and simplifying healthcare.
What you will do
- Manage member cases within the scope of an active RN license.
- Perform telephonic and face-to-face clinical assessments covering physical health, behavioral health, social services, and long-term supports.
- Develop, monitor, evaluate, and revise individualized care plans with members, families, caregivers, physicians, and interdisciplinary teams.
- Identify high-risk complications, alternative levels of care, and applicable waiver programs.
- Facilitate service authorizations and referrals and resolve provider, claims, and service issues.
- Direct and oversee LPN/LVN, social work, and other non-RN clinicians involved in member care.
Requirements
- High school diploma or equivalent.
- At least 3 years of experience working with individuals with chronic illnesses, co-morbidities, or disabilities in service coordination, case management, or a similar role.
- Current, active, valid, and unrestricted RN license in the applicable state or states.
- Ability to travel to the worksite and other locations as necessary.
- State-specific certification may be required under applicable law or contract.
Nice to have
- MA or MS in Health or Nursing.
Culture & Benefits
- Virtual work model with flexibility and autonomy, subject to required in-person training and commuting-distance requirements.
- Paid holidays, paid time off, merit increases, and incentive bonus programs.
- Medical, dental, vision, disability, life insurance, and wellness benefits.
- 401(k) matching, stock purchase plan, and financial education resources.
- COVID-19 and influenza vaccination may be required for certain patient- and member-facing roles.
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