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Skills
Analysis Skillsunmatched
Case Managementunmatched
Certified Case Manager (CCM)unmatched
Health Planunmatched
Healthcareunmatched
Maintain Complianceunmatched
Medical Office Administrationunmatched
Medical Recordsunmatched
Nursingunmatched
Primary Careunmatched
Privacy Controlsunmatched
Quality of Careunmatched
Record Keepingunmatched
Registered Nurse (RN)unmatched
Risk Analysisunmatched
Social Workunmatched
Treatment Planunmatched
Description
Our Client, a Healthcare company, is looking for a RN: Case Manager for their Baltimore, MD 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:
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.