(RN) Case Manager in Midvale, UT at NurseCore

Date Posted: 7/30/2019

Job Snapshot

Job Description



You will perform case management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for members to promote quality, cost effective care.

  • Enjoy a tremendous work / life balance. You will look forward to enjoying weekends and holidays off without on call responsibility. 
  • You will work a Monday through Friday day hours schedule and be able to leave your job at the office.
  • Completes comprehensive assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified in the assessment.
  • Develops and implements a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
  • Conducts face-to-face or home visits as required. 25- 40% local travel required.
  • Performs ongoing monitoring of the care plan to evaluate effectiveness, document interventions and goal achievement, and suggest changes accordingly.
  • Maintains ongoing member case load for regular outreach and management. 
  • Promotes integration of services for members including behavioral health care and long term services and supports/home and community to enhance the continuity of care for our members.
  • Facilitates interdisciplinary care team meetings.
  • Uses motivational interviewing and our clinical guideposts to educate, support and motivate change during member contacts. 
  • Assesses for barriers to care, provides care coordination and assistance to member to address concerns. 
  • RNs are assigned cases with members who have complex medical conditions and medication regimens.
  • RNs conduct medication reconciliation when needed.
  • Graduate from an Accredited School of Nursing. Bachelor's Degree in Nursing preferred.
  • 1-3 years in case management, disease management, managed care or medical or behavioral health settings.
  • Active, unrestricted State Registered Nursing (RN) license in good standing.
  • Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation.

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