Clinical - Care Manager (RN) - J01007

Location : Remote / Hybrid for NE Ohio region. Source From : (Lorain, Cuyahoga, Medina counties )region.

(There will be home office visits)

SHIFT : 8-5 pm Monday -Friday

Duration : 3 Months, possibility to extend.

Job Description :

• Typical task breakdown and rhythm Complete member outreach within the allotted turn-around-time, Complete required engagement assessments and documentation, Provide member with resources, address needs and member s health, safety, and welfare.
• Interaction level with team Daily interaction as needed through team s chat, video / zoom, telephone, and / or email.
• Work environment description -Work from home 60%. Visits are needed to engage members in waiver services, address health safety welfare issues, and to meet acuity schedule needs. Must be knowledgeable case management roles, transitions of care, and able to work with members who have BH and medical needs.
• Remote Telephonic position for member engagement. Position may require an in-person visit for assessing members for a HENS / Waiver.
• Will be working with members new on BHP plan.

Position Purpose : Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

Must haves : Knowledge working in a case management role, transitions of care, documentation standards, treatment / care planning, completing assessments

Nice to haves : Versed in behavioral health and Medical

Disqualifiers : Does not have CM knowledge or knowledge of working with members outside of a hospital setting

Performance indicators : See must haves above.

Candidate Requirements Education / Certification Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 4 years of related experience. Preferred : Associates Degree of Nursing. Licensure RN - Registered Nurse - State Licensure and / or Compact State Licensure required Preferred : RN