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The “Telephonic” Nurse Case Manager II is responsible for performing care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum.
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The LTSS Service Coordinator - RN Telehealth is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops , monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum.
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Home care, case management, ambulatory nursing, and/or hospital experience preferred. Effectively manages patients through the Transitional Care Management workflow. The Registered Nurse Care Manager (RN-CM) functions within the full scope of nursing practice, while leading an interdisciplinary team, in the delivery of telephonic, virtual, and in-person care, for nephrology practice patients that participate in value-based care programs.
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Use the nursing process to provide telephonic case management support for 30-days post discharge. Case Management - RN. Job Summary: The Transitional Care Nurse (Clinical Liaison) is an integral member of the CVS Care Transitions Team. The Transitional Care Nurse (RN) will work closely with patients, health care providers and partners to facilitate timely post discharge support for patients transitioning from an acute care setting to home.
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Training in a social science, behavioral science, health science, guidance and counseling, or a closely related field and/or experience providing assistance, information or referrals to the general public related to social services, health care, or legal services; in child, adult, family, or group case management, licensing, or probation services; or providing care or services to delinquent juveniles.
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Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders. The Clinical Care Manager is responsible for performing case management telephonically within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.
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Job Description :A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
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Full Time Day Shift Position Utilization Management Or Telephonic Case Management Experience. Certification in Case Management (CCM) by the Commission for Case Management Certification (CCMC) preferred.
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Current active, unrestricted license such as RN, LCSW, LMHC, LICSW, LPC (as allowed by applicable state laws) LMFT, LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in Michigan.
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For Government business only: LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply.
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Required Qualifications for Remote RN Case Manager: RN license in California Graduate from accredited nursing school - Associates or Bachelors 2+ years of telephonic case management, Medicare, and Medicaid experience Ability to work in Fast paced environment.
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J) Develops and supports a practice based care management model by providing on-site and telephonic services i.e. wellness, health coaching, goal setting, self-management techniques, disease management and case management including coordination with community services per Patient Centered Medical Home (PCMH) standards.
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Certification in Case Management (e.g. CCM, ANCC) or obtain within 1 year of hire date. f)Identifies and stratifies high risk patients needing care management services to reduce re-hospitalizations in people with chronic illnesses (i.e. uncontrolled Diabetes, HTN, COPD, CHF, depression, out of range BMI and age-related conditions), socioeconomically disadvantaged, and/or the chronically mentally ill.
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Serve as case manager for mandatory referral cases as needed, providing HR/supervisor consultation, intake, and ongoing case management. Provide in-the-moment telephonic support to callers for a wide variety of issues (e.g. suicidality, drug/alcohol concerns, anxiety, depression, work conflicts, family issues.
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A Little More About What You Will be Doing The RN Care Coordinator is responsible for the case management of patient while hospitalized and upon discharge from various care settings. Submits necessary clinical information to the health plan using the accepted format (MIDAS or telephonic) and coordinate health plan communication with assigned hospitalist as appropriate.
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telephonic case management jobs
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