RN - Care Manager

SGS_JOB_1283

Business Support
 Delaware
Registered Nurse or RN and Case Management or Case Manager and Medicare or Medicaid

Contract - 03 Months (Contract to hire)

• Contract to hire opportunity. Manager starts to look at candidates at the 3 month mark to see if they are a fit and starts considering hiring. Will extend out 3 months at a time until hired full time. • Position is for New Castle County (candidates must be located within that county) • Must reside in Delaware • Face-to-face visits will be required. Must be willing to begin visits on week 1. • The resource will mostly, with few exceptions, be going into homes to visit home-based members (occasionally to motels, if the member is unhoused, or to hospitals, but these will be sporadic visits)

Job Responsibilities:

  • Travel to members’ homes (occasionally a hospital or motel and very rarely a long-term care facility or nursing home) and other community based settings in order to complete face to face needs assessments with subsequent telephonic contact with the member in accordance with state and national guidelines, policies, procedures, and protocols.
  • Assess, plan, coordinate, implement and evaluate care for eligible members with chronic and complex health care, social service and custodial needs in a nursing facility or home and community-based care setting.
  • Coordinate care across the continuum of services and assisting members physical, behavioral, long term services and supports (LTSS), social, and psychosocial needs in the safest, least restrictive way possible while considering the most cost-effective way to address those needs.
  • Facilitate authorization, coordination, continuity and appropriateness of care and services in community or HCBS.
  • Facilitate transitions to alternate care settings such as hospital to home, nursing facility to community setting using an integrated care team to address the member’s specific needs.
  • Educate members or caregivers regarding health care needs, available benefits, resources and services including available options for long term care community or facility-based service delivery.
  • Provide education, resources, and assistance to help members achieve goals as outlined in their plan of care and to overcome obstacles to achieving optimal care in the least restrictive environment.
  • Develop a plan of care in conjunction with members or caregivers to identify services to meet the member’s specific needs, and goals.
  • Identify resources needed for a fully integrated care coordination approach including facilitating referrals to special programs such as Disease/Chronic Condition Management, Behavioral Health, and Complex Case Management.
  • Collaborate with the member's health care and service delivery team including the DSHP Plus LTSS Member Advocate, ICT, and discharge planners, to coordinate the care needs and community resources for the member in order to maintain the member in the least restrictive safe environment possible. Assist members in developing, implementing and amending a back-up plan for gaps in provider coverage.
  • Ensure approved support services are being provided as outlined in the plan of care. Evaluate the effectiveness of the service plan and making appropriate revisions as needed in accordance with per policy & procedures and state contractual requirements.
  • Assist members in overcoming obstacles to optimal care through connection with community resources, including communicating with providers and formulating an appropriate action plan.
  • Document all case management services and intervention in the electronic health record. Adhere to all company, State and Federal requirements related to privacy practices, HIPAA, and quality performance standards.
  • Perform other duties as assigned/requested.

Skills:

  • Registered Nurse in the state of DE, with case management experience
  • Experience completing Assessments, developing Service Plans and Care Plans
  • Experience collaborating with PCP’s, Occupational Therapists, Behavioral Health, and Providers
  • Experience with ordering DME Equipment
  • Experience educating and providing resources for the member’s Social Determinants. They must have experience with discharging members from a Facility setting.
  • Working flexible hours to meet member’s needs
  • Proficiency in PC-based word processing and database documentation (Word, Excel, Internet, Outlook)
  • Reliable transportation daily to be able to travel within assigned territory
  • Ability to meet regulatory deadlines.
  • Has a dedicated home work space used only for business purposes and is able to comply with all telecommuter policies.
  • Experience in geriatric special needs, behavioral health, home health
  • Understanding of the importance of cultural competency in addressing targeted populations.
  • Experience with electronic documentation system(s)
  • Experience with cost neutrality and budgeting
  • Must be willing to travel throughout the state (may only need to travel 2-3 times a week depending on schedule)
  • Must be able to communicate clearly to members - will be tasked with conducting assessments with members over the phone
  • Must be very organized

Education/Experience:

  • Certified Case Manager (CCM)
  • Licensed Bachelor’s Social Worker (LBSW)
  • Licensed Master’s Social Worker (LMSW)
  • Licensed Clinical Social Worker (LCSW)
  • Experience working with HIV/AIDS population
  • Experience working with behavioral health population
  • Experience working with developmental disabilities population
  • Medicare and Medicaid experience

Related Jobs

IT Contract Specialist

Business Support
Remote
05 months

IT Contracts Specialist supports the, development, negotiation, renewal, maintenance, and compliance of IT contracts with established standard terms, conditions, and templates. Working in close collaboration with the IT Contracts Manager, various business stakeholders, IT leaders, and Legal counsel, this role is responsible for contract execution, assessing contractual performance, ensuring compliance with terms and conditions as well as the support of specific standards, service level agreements, and contract administration. The IT Contract Specialist ensures all IT contracting and procurement activity is consistently executed in accordance with HFHS policy. As the senior member of a specialist group, the IT Contract Specialist provides guidance and support to the Contract Specialists and Junior Contract Specialists on System policies and departmental procedures.

IT contract management
Negotiation
Contract review

Category Merch Specialist

Business Support
Remote
03-04 Months

The Category Merch Specialist is responsible for executing specialized support tasks in a specific merchandising department. These functions are exercised across various systems and require timely input with a high level of accuracy. Will provide support tasks related to executing sales and merchandising strategies.

Category management
merchandising
excel
reports

DEPARTMENT SUPPORT SPECIALIST I

Business Support
 Texas
12 Months

Location : Houston Texas The Department Support Specialist I serves as a Tier Two customer support representative, managing escalated customer service cases related to billing and account issues. This role acts as a liaison between customers, internal teams, and external utilities, working primarily in Salesforce within a hybrid work environment. The position requires strong independence, attention to detail, and effective time management.

Customer Service
Salesforce

Procurement Specialist

Business Support
 Kentucky
06+ Months Extendable

Location : Louisville, KY 40202. The Procurement Packaging Specialist (Temporary) will support the Packaging Procurement team in the execution of sourcing activities, supplier coordination, and project follow-up related to ongoing and new packaging developments across the spirits portfolio. This role is ideal for someone detail-oriented, organized, and comfortable working in a fast-paced, cross-functional environment.

Procurement
Sourcing
Packaging
spirits
portfolio Management
packaging projects
CPG
Supply Chain
Wine
Liquor

Project Manager - Facility Maintenance Transition

Business Support
 Texas
9 Months

Location : Fort Worth TX The Project Manager – Facility Maintenance Transition will lead the full transition of facility maintenance responsibilities to the airport authority, ensuring a smooth transfer of processes, scope, and operational knowledge. This role requires strong leadership, strategic planning, and cross-functional coordination to manage stakeholders, mitigate risks, and ensure continuity of facility operations throughout the transition period.

Project manager
Facility.

Product Coordinator

Business Support
 Texas
12 Months

Location : Fort Worth TX The Product Coordinator will support product operations for travel and hotel-related offerings by managing invoicing, updating content, and coordinating projects across departments. This role requires strong organizational skills, attention to detail, and proficiency with Excel and Microsoft tools. The coordinator will interact with high-level partners to gather information and ensure accuracy across platforms while supporting various cross-functional initiatives.

Marketing
Content.

Content Strategist

Business Support
 Texas
12 Months

Location : Fort Worth TX 76155 The Content Strategist will support Technology Strategy & UX team by planning, creating, and managing content across employee-facing digital tools. This role focuses on developing clear, consistent, user-centered content that aligns with brand voice, enhances product usability, and supports both customer service teams and end users. The position requires strong writing skills, UX collaboration, and content governance expertise within a hybrid work environment.

Content
UX

Environmental Consultant

Business Support
 Washington
12 Months

Location : Richland WA The Environmental Consultant will support environmental compliance, permitting, and regulatory review activities for EN in Richland, WA. The role involves performing NEPA/SEPA research, conducting field assessments, preparing environmental documentation, and collaborating with multidisciplinary teams to ensure adherence to federal, state, and local environmental regulations. This position plays a key role in identifying environmental risks, developing strategies, and supporting project decisions through expert analysis and reporting.

Environmental
Compliance

Financial Analyst Sr

Business Support
 New Jersey
6 Months

Location : Carneys Point New Jersey Seeking a Senior Financial Analyst to support business operations through advanced financial analysis, data interpretation, and reporting. This role requires strong analytical skills, expertise in business processes, and proficiency in financial and operational systems to support strategic decision-making.

Financial
workforce
logo

At SGS Consulting, we go beyond resume-job matches, creating meaningful connections and pathways for individuals to thrive in defining careers.


2025. All right reserved.
logologologologo