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Registered Nurse - Case Manager - Parkside Oak Street Health
Philadelphia, PAToday
- $60,522–$142,576
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Skills
- Ambulatory Careunmatched
- Case Managementunmatched
- Certified Case Manager (CCM)unmatched
- Clinical Informationunmatched
- Communication Skillsunmatched
- Compensation and Benefitsunmatched
- Computer Skillsunmatched
- Corporate Policiesunmatched
- Cost Controlunmatched
- Establish Prioritiesunmatched
- Health Planunmatched
- High School Diplomaunmatched
- Home Careunmatched
- Hospitalunmatched
- Maintain Complianceunmatched
- Managed Careunmatched
- Multitaskingunmatched
- Pharmacyunmatched
- Presentation/Verbal Skillsunmatched
- Quality Managementunmatched
- Registered Nurse (RN)unmatched
- Regulationsunmatched
- Regulatory Complianceunmatched
- Retailunmatched
- Team Playerunmatched
- Typingunmatched
- Writing Skillsunmatched
Description
Our client, a Retail Pharmacy company, is looking for a Nurse Case Manager II for their Essex, Middlesex, Monmouth, Ocean, Bergen, Passaic Counties, NJ location.
Responsibilities:
Requirements:
Why Should You Apply?
Responsibilities:
- The Case Manager utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes.
- Requires an RN with unrestricted active license
- Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member's needs to ensure appropriate administration of benefits Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
- Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services
- Application and/or interpretation of applicable criteria and guidelines, standardized case management plans, policies, procedures, and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate
- administration of benefits
- Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures
Requirements:
- Verifyable High School Diploma or GED Required
- 3 years Clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care required.
- Healthcare and/or managed care industry experience.
- Case Management experience preferred-- Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding
- Effective communication skills, both verbal and written.
- Ability to multitask, prioritize and effectively adapt to a fast paced changing environment
- Sedentary work involving periods of sitting, talking, listening.
- Work requires sitting for extended periods, talking on the telephone and typing on the computer.
- Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.
- Typical office working environment with productivity and quality expectations
- RN with current unrestricted state licensure in the state of NJ with no infractions or history
- Case Management Certification CCM preferred
Why Should You Apply?
- Health Benefits
- Referral Program
- Excellent growth and advancement opportunities
Numbers & Facts
| Location | Trenton, NJ |
| Salary | $15.92–$44.14 Per Hour |
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