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We are aggressively seeking an RN Complex Care Manager for a Healthcare organization in your area! As the Year 2016 is in full swing, this organization is very busy, and they need YOUR help.

Take advantage of flexible hours, a competitive salary, and be an RN Complex Care Manager with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!

This exciting opportunity will require an Rn Complex Care Manager who can provide a high level of service and attention to their members. If you are seasoned, and you meet the qualifications listed below, please send your updated resume to Jon Whitehead for immediate consideration.

Company Job Description:

*Will report to the Director of Case Management

Position Purpose: Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care * 100% telephonic

+ Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options

+ Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes

+ Coordinate services between Primary Care Physician \(PCP\), specialists, medical providers, and non\-medical staff as necessary to meet the complete medical socio economic needs of clients

+ Provide patient and provider education

+ Facilitate member access to community based services

+ Monitor referrals made to community based organizations, medical care and other services to support the members’ overall care management plan

+ Actively participate in integrated team care management rounds

+ Identify related risk management quality concerns and report these scenarios to the appropriate resources\.

+ Case load will reflect heavier weighting of complex cases than Care Manager I, commensurate with experience

+ Enter and maintain assessments, authorizations, and pertinent clinical information into various medical management systems

+ Direct care to participating network providers

+ Perform duties independently, demonstrating advanced understanding of complex care management principles\.

+ Participate in case management committees and work on special projects related to case management as needed

Qualifications:

-RN

- 2+ year’s clinical nursing experience coming from an acute care setting

-Must have CM telephonic experience, make sure easy to find. Can be any amount. Just make sure it is there.

-2 years of Case Management Experience

-At least 1 year of experience coming from a Managed Care Setting strongly preferred

- Experience with medical decision support Interqual or Milliman software preferred.

Interested in being considered? 

If you are interested in applying to this position, please contact Ashley Greene at 407-478-0332 ext 169

 and click the Green I’m Interested Button to email your resume.