Transplant RN Case Manager (Unresearched)

[cwoods333]

The Case Manager is responsible for clinical operations and medical management activities across the continuum of care (assessing, planning, implementing, coordinating, monitoring and evaluating). This includes case management, coordination of care, and medical management consulting. The Case Manager may also be responsible for providing health education, coaching and treatment decision support for members. As the Case Manager in this role you will be a part of the Managed Transplant program focusing on working with clients who are transplant specific.

Responsibilities
Making outbound calls to assess members' current health status
Identifying gaps or barriers in treatment plans
Providing patient education to assist with self management
Interacting with Medical Directors on challenging cases
Coordinating care for members
Making referrals to outside sources
Coordinating services as needed (home health, DME, etc)
Educating members on disease processes
Encouraging members to make healthy lifestyle changes
Documenting and tracking findings
Utilizing Milliman criteria to determine if patients are in the correct hospital setting
Making 'welcome home' calls to ensure that discharged member receive the necessary services and resources

Requirements:
Current, unrestricted RN license in the State you reside
2+ years experience in a hospital setting, acute care, direct care experience
1+ years experience working with Transplant patients
Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment
Strong verbal and written communication skills
Ability to problem solve
Strong organizational skills and multitasking abilities will be keys to success

Additional Assets Preferred:
Bachelor's Degree
A background in managed care
Certified Case Manager (CCM)
Experience/exposure with discharge planning
Experience in utilization review, concurrent review and/or risk management

How To Apply:
If you are interested in this opportunity, please visit Transplant RN Case Manager - Opportunity to Telecommute!!

Good Luck!!!

Carlene