Care Manager – RN

SGS_JOB_1625

Nursing
 Delaware
Care Manager
RN
Registered Nurse
Case Management
CCM
LBSW
LMSW
LCSW

Contract - : 3 months +

Location: New Castle County, DE Duration: 3 months + (Contract to Hire

Job Responsibilities:

  • Travel to members’ homes, nursing facilities, 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:

  • Care Manager, RN, Registered Nurse, Case Management, CCM, LBSW, LMSW, LCSW

Education/Experience:

  • Registered Nurse in the state of DE
  • 5 years of Intensive Case Management and Discharge Planning 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

Related Jobs

LVN/LPN (Float)

Nursing
 Florida
09+ Months

Location: CAPE CORAL FL 33904 & ESTERO FL 33928 (FLOAT). This is a full-time contingent position, starting at 30 hours per week up to a possible 40 hours, and may require floating to other nearby locations and working alternating weekends.

Primary Care
Urgent Care
or ER
EPIC

Nurse Case Manager II (TRAVEL and Bilingual)

Nursing
 New Jersey
$40- $43
6+ Months

Location: Trenton, NJ The care manager is responsible for assessing and evaluating members with potential care management needs through telephonic and face to face assessments in various settings, including the member’s private residence, hospitals, behavioral, and long-term nursing facilities. The care manager establishes a cost effective and member centric care plan in collaboration with the member, authorized care givers, and providers.

complete F2F
RN

Nurse Case Manager II - Toledo OH

Nursing
 Ohio
03+ Months (Contract)

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.

Hospital setting
Case Management

Nurse Practitioner Core

Nursing
 North Carolina
06 Months (Contract)

The Nurse Practitioner delivers defined patient care services in a retail clinic environment. You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. Care is documented via computerized electronic health records. This position reports directly to the Senior Practice Manager. Our clinic’s practice locations are located inside select Pharmacy and Target Stores. We are reinventing pharmacy with innovation, collaboration, caring, integrity, and accountability. Our mission is helping people on their path to better health through patient engagement.

Nurse Practitioner/Physician
Verbal
Written
Electronic communication

Nurse Practitioner Core

Nursing
 Texas
06 Months (Contract)

Nurse Practitioners will work in collaboration with a dedicated clinical care team to provide evidence-based care to a panel of patients. The clinical care team will work with the provider daily to drive better outcomes for the entire panel of patients. This will include accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning. This role will be reported to the practice manager.

Application for DEA number
Spanish
English

Nurse Case Manager II

Nursing
 Illinois
06 Months (Contract)

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, LCSW, or LCPC with an unrestricted active license. Experience with case management and IL waiver services is preferred.

RN
LCSW
or LCPC

Nurse Practitioner/ NP

Nursing
 Virginia
06 Months (Contract)

Document all patient care within an electronic health record. Help develop Patient Centered Practice Teams. Respond to patient care inquiries throughout the day Customer Service Excellence: Increase patient engagement and satisfaction through integration of feedback from patients, management, and professional colleagues. Maintain all levels of communication. Healthcare Environment Management: Resolve conflict using appropriate management techniques. Cultivate relationships between practice employees and retail store colleagues. Balance priorities to manage patient care and needs. Manage clinical and non-clinical tasks. Adapt to new models of patient care for clinic efficiency.

Patient Centered Practice
Communication

RN Emergency Room

Nursing
 Massachusetts
Weekly-$2417.91
13 Week

A Registered Nurse (RN) assesses patient conditions, plans and delivers comprehensive care by administering medications, monitoring vital signs, providing emotional support, and collaborating with healthcare teams to promote patient health and recovery; requiring a nursing degree and state license to practice

RN Emergency Room

RN Telemetry I

Nursing
 Massachusetts
Weekly-$2283.58
13 Week

A Registered Nurse (RN) assesses patient conditions, plans and delivers comprehensive care by administering medications, monitoring vital signs, providing emotional support, and collaborating with healthcare teams to promote patient health and recovery; requiring a nursing degree and state license to practice

RN Telemetry I
logo

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

Our Services

Contingent Workforce Solutions

Strategic SOW Services

Payroll Solutions


2025. All right reserved.
logologologologo