Job Description
- Assess the member's current health status, resource utilization, past and presenttreatment plan and services, prognosis, short and long term goals, treatment and provider options
- Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
- Coordinate services between Primary Care Physician (PCP), specialists, medicalproviders, and non-medical staff as necessary to meet the complete medical socioeconomic needs of clients
Compensation: $30 - $35/h
Qualifications
- Associate’s degree in Nursing. Bachelor’s degree in Nursing preferred.
- 1+ yearsof clinical nursing experience in an acute care setting along with a1+ years of case management experiencewith the adult and geriatric populationin amanaged care,home health, Hospital, or Hospice setting
- Knowledge of utilization management principles and healthcare managed care.
- Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsoredmanaged care programs.