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Registered Nurse RN Care Manager (RN #)

Company: Maxim Government Services
Location: Greenville
Posted on: August 10, 2019

Job Description:

Other opening in Greenville, North Carolina. Maxim Healthcare Services is currently seeking a qualified candidate to serve as a Long Term Support Services Care Manager for a direct placement opportunity with our client.

  • A Fortune 200 Company
  • Voted World's Most Admired Company
  • Focuses exclusively on government-sponsored healthcare programs
  • Full benefits available including 401k with company match and tuition reimbursement
  • Paid time off starting with 18 days. JOB SUMMARY This licensed professional will be responsible for the oversight and coordination of long term support services / long term care for special (higher acuity) populations residing in the community and/or skilled nursing facilities. Examples include but are not limited to: individuals with 2 or more, higher risk medical or behavioral health conditions (e.g., COPD and Schizophrenia). This position assumes a leadership role with internal and external partners to achieve optimal health care outcomes for the member through effective coordination of care activities. Education Level Education Details Required/Preferred Associates' degree in Nursing or Bachelor's degree in social work, sociology, psychology, gerontology, or a related social services field; Work Experience * Possess a minimum of two (2) years of relevant experience and be a Registered Nurse (RN) Or Licensed Certified Social Worker (LCSW), Licensed Medical Social Therapist (LMST), Licensed Mental Health Counselor (LMHC) and licensed to practice in the State *Possess a minimum of four (4) years of relevant experience and be a licensed professional able to practice in the State. Key Duties and Responsibilities
    • Provides care coordination and care management and oversees higher acuity long-term support services / long-term care members. (i.e. individuals with complex medical or behavioral health issues that place populations at greater risk for potentially prevent able events such as avoidable admissions, readmissions, and emergency room visits).
    • Manages an active caseload based on state mandated ratios according to residential setting, case intensity and acuity.
    • Partners effectively with the PCP, Specialist, member, member's family and interdisciplinary care teams (ICT) to develop a Person Centered Care Plan.
    • Utilizes clinical knowledge and expertise to craft strategies aimed at member education to support self-management and achieve optimal health outcomes.
    • In partnership with the member, family, physician(s), ICT and other providers, assesses short and long-term member needs, evaluates the need for supportive e services and establishes member driven care management objectives.
    • Responsible for coordination of service authorizations (i.e. meals, transportation, activities of daily living).
    • Performs clinical interventions such as education on prescribed medication treatment regimens and counseling.
    • Ensures comprehensive assessments and person-centered care plans are completed within required time frames and utilizes clinical knowledge and expertise to assess options for care including use of benefits and community resources.
    • Acts as liaison and member advocate between the member/family, physician and facilities/agencies.
    • Maintains accurate reports and manages the integrity of care management activities in the electronic care management system, using clinical guidelines.
    • Educates on and coordinates community resources, to include medical, behavioral and social services. Applies care management standards and maintains HIPAA standards and confidentiality of protected health information.
    • Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
    • Participates in performance improvement activities.
    • Performs special projects as assigned. For further information and/or to apply to this opportunity, please contact Jacob Underwood at [Click Here to Apply] or email your resume to [Click Here to Apply]

Keywords: Maxim Government Services, Greenville , Registered Nurse RN Care Manager (RN #), Executive , Greenville, North Carolina

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