Care Manager
Integrated Resources, Inc., is led by a seasoned team with combined decades in the industry. We deliver strategic workforce solutions that help you manage your talent and business more efficiently and effectively.
Since launching in 1996, IRI has attracted, assembled and retained key employees who are experts in their fields.
Ensure you read the information regarding this opportunity thoroughly before making an application.
We’ve stayed true to our focus of finding qualified and experienced professionals in our specialty areas. Our partner-employers know that they can rely on us to find the right match between their needs and the abilities of our top-tier candidates.
Job Description
- At least 3 years case management - REQUIRED
- Bachelor's in Nursing - REQUIRED
Qualifications
The Care Manager (RN) assists members appropriate for care coordination and case management services in achieving their optimal level of health.
The Care Manager (RN) is responsible for engaging the member and providers to assess, plan and establish individual member goals.
Will facilitate and coordinate care for the members while assuring quality and use of cost-effective resources.
The position will function as a single point of contact and be an advocate for members in the care coordination program.
Assess members to determine care coordination and case management needs for all referred members.
Completes comprehensive assessment of environmental, psycho-social, and support needs. Identifies problems / barriers for care coordination and appropriate care management interventions.
Creates a plan of care to assist members in reducing / resolving problems and / or barriers so that members may achieve their optimal level of health.
Identifies both short and long-term goals and associated time frames for completion. Shares goals with the member and family as appropriate.
Identifies and implements the appropriate level of intervention based upon the member’s needs and clinical progress.
Schedules follow-up calls as necessary, makes appropriate referrals.
Implements actions to address member issues.
Documents progress towards meeting goals and resolving problems.
Coordinates care and services with the Account manager, Complex RN Case Manager, and member, family members as appropriate, PCP, Specialist, and Facility / Vendor Providers.
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