Nurse Case Manager II - Transition OD Care Registered Nurse

SGS_JOB_2366

Nursing

Florida

Case Management

Case Assessment

Nurse Case Manager

Case Manager

Contract - 06+ Months

Location : Tampa, Hillsborough, Highlands, Polk, Hardee, Manatee Counties in FL state Shift: M-F 8-5 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.

Job Responsibilities:

Candidate must reside in FL and area of coverage. Minimum 2 years of clinical experience. Bi-Lingual Spanish/ English required and willing and able to travel 75% of their time to meet members face to face and surrounding counties/areas
Complete at least 10 NF member assessments weekly
Support the Health Plan Rebalancing Initiative goal of successful transitions: Assess, identify, screen and transition NH members into the community
Follow up on CM referrals and visit current NH members in-person at least twice a week to complete the rebalancing events and screening assessments.
Complete telephone or in-person contact to assess the home prior to discharge and identify any environmental support needed to support transition (i.e. ramp, DME installation etc.).
Conduct an in-person Significant Change Visit with members and Rep if applicable, within 5 days of transition. Coordinate provision of services as needed, establish Plan of Care, and document all actions taken.
Contact facility’s Business Office once a week to follow-up on mbr’s census and will coordinate with Social Services and CM to facilitate discharge.
Work collaboratively with case managers to identify high risk community members and implement appropriate interventions to prevent lapses or coordinate safe transition (Upon receiving referral)
Drive enhanced value of health care to increase member satisfaction and retention and drive new membership growth.
Be involved in at least two community relations events per year
Engage in building strong relationships that contribute towards member satisfaction and retention

Skills:

Preferred Skills: Managed Care experience, Discharge coordination experience, Transition of care experience, Home Health experience, Case Management experience
Position requires proficiency with computer skills which includes navigating multiple systems and ability to work in a fast-paced environment
Experience Level: Specify the level of experience required mid-level

Education/Experience:

Active, unrestricted and good standing RN license in the state of Florida with Associate Degree Required and BSN preferred.

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Nurse Case Manager II - Transition OD Care Registered Nurse

Job Responsibilities:

Skills:

Education/Experience:

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