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Case Manager

ICONMA, LLC

Fond du Lac, WI

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JOB DETAILS
SALARY
$52.33–$57.33 Per Hour
SKILLS
Analysis Skills, Case Management, Certified Case Manager (CCM), HIPAA (Health Insurance Portability and Accountability Act), Health Plan, Healthcare, Infection Control, Maintain Compliance, Medical Office Administration, Medical Records, Nursing, OSHA, Primary Care, Privacy Controls, Quality of Care, Record Keeping, Registered Nurse (RN), Risk Analysis, Social Work, Treatment Plan
LOCATION
Fond du Lac, WI
POSTED
1 day ago
Our client, a Healthcare company, is looking for a Case Manager for their Fond du Lac, WI/Jackson, WI/Waterford, WI/ Sheboygan, WI location.
 
Responsibilities:
  • Perform comprehensive assessment of high risk members.
  • Collaborate with primary care providers to ensure the implementation of an individualized, comprehensive care plan with specific interventions designed to engage the member.
  • Address, identify, and continuously reassess cost-efficient, appropriate levels of care.
  • Put non medical support in place to ensure compliance with treatment plans (such as housing and transportation).
  • Coordinate care transitions as needed.
  • Coordinate with physicians, social workers, discharge planners, and claims professionals in transitioning patient to appropriate level of care.
  • Engage specialty resources as needed to achieve optimal resolution.
  • Keep detailed records of clinical, functional, and fiscal outcomes during the management process.
  • Identify opportunities for health promotion and illness prevention.
  • Prevent adverse patient occurrences when possible and intervene quickly if prevention is not possible, thereby minimizing poor outcomes.
  • Act as patient advocate by protecting privacy and confidentiality issues.
 
Requirements:
  • Skills competency checklist-Required and must be uploaded during compliance checks
  • Elder Abuse training
  • HIPAA training
  • Infection prevention and control
  • OSHA compliance
  • Education/skills training received in the past 12 months.
  • This includes copies of any training they may have received in the past 12 months.
  • Associates or Bachelors Degree in Nursing or related field.
  • Current, unrestricted state Registered Nurse license.
  • Ability to analyze complex medical information and make rational decisions.
  • Case Management certification.
 
Why Should You Apply?

About the Company

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ICONMA, LLC

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